MR. JEFFERY EVERETT SHIVELY - NPI 1750771747 - Case Manager/Care Coordinator in Detroit, MI

Q: What is Jeffery Shively's NPI number?

The NPI number for Jeffery Shively is 1750771747. It was assigned to this individual provider in the NPPES registry on January 28, 2015.

Q: What is Jeffery Shively's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Shively was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mr. Jeffery Everett Shively NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFERY EVERETT SHIVELY (NPI 1750771747) is an individual case manager/care coordinator provider in Detroit, Michigan and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1750771747

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. JEFFERY EVERETT SHIVELY

Location Address12007 LINWOOD STDetroit, MI 48206-1107

Mailing Address354 Charterhouse CtCanton, MI 48188-1520 · (734) 625-4524

Phone(313) 867-1090

Sole ProprietorYes

Enumeration DateJanuary 28, 2015

Last NPPES UpdateAugust 12, 2025

NPPES CertifiedAugust 12, 2025

✔ NPI 1750771747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselorTaxonomy 101Y00000X

12007 LINWOOD ST, Detroit, MI 48206

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAJUAN WILLIAMS

Case Manager/Care Coordinator