ELONZO DUNCAN MSW
NPI 1518024173
Social Worker in Flint, MI
NPI Status: Active since January 03, 2007
Contact Information
G3500 FLUSHING RD
SUITE 112
FLINT, MI
ZIP 48504
Phone: (810) 230-8617
Fax: (810) 230-8459
- Individual
- Male
- Social Worker
- Accepts Insurance
- PECOS Enrolled
About ELONZO DUNCAN
This page provides the complete NPI Profile along with additional information for Elonzo Duncan, a provider established in Flint, Michigan with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1518024173 assigned on January 2007. The practitioner's primary taxonomy code is 104100000X with license number SW6801015593 (MI). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1518024173
- Provider Name
- ELONZO DUNCAN MSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- G3500 FLUSHING RD SUITE 112 FLINT, MI 48504
- Location Phone
- (810) 230-8617
- Location Fax
- (810) 230-8459
- Mailing Address
- G3500 FLUSHING RD SUITE 112 FLINT, MI 48504
- Mailing Phone
- (810) 230-8617
- Mailing Fax
- (810) 230-8459
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-03-2007
- Last Update Date
- 02-23-2015
- Code Navigator
A social worker like Elonzo Duncan helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- SW6801015593
- License State
- MI
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0007290046 | OTHER (01) | TX | AENTA |
| 0894550 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD |
| 046678 | OTHER (01) | MI | VALUEOPTIONS |
| 046678 | OTHER (01) | MI | BLUE CARE NETWORK OF MICH |
| 202062000 | OTHER (01) | MI | MAGELLAN BEHAVIORAL HEALT |
| 0M00370 | OTHER (01) | MI | MEDICARE |
Medicare Participation & PECOS Enrollment Status
Elonzo Duncan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychotherapy, 1 hour
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
This service was performed 179 times for 11 patientsReviews for ELONZO DUNCAN MSW
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1518024173, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
FLINT, MI 48504
FLINT, MI 48504
FLINT, MI 48504
FLINT, MI 48504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518024173, enumerated as an "individual" on January 03, 2007.
The provider is located at G3500 FLUSHING RD SUITE 112 FLINT, MI 48504 and the phone number is (810) 230-8617.
Social Worker with taxonomy code 104100000X.
The provider might be accepting Accepts: McLaren Health Plan Community, Providence Health. Please consult your insurance carrier or call the provider to verify.