Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeffery Everett Shively

Individual provider Case Manager/Care Coordinator · NPI 1750771747

Mr. Jeffery Everett Shively is a Case Manager/Care Coordinator in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

12007 Linwood St
Detroit, MI 48206-1107
Phone: (313) 867-1090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1750771747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 28, 2015
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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