JESSICA MARIE SHORT-SLACK LMSW
NPI 1023489770
Social Worker - Clinical in Flushing, MI

Active since October 07, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5122 PASADENA AVE, FLUSHING, MI 48433(810) 429-7359 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Nov 29, 2022, Apr 15, 2021 and 1 more (4 updates tracked since 2015).

About Jessica Marie Short-slack Lmsw NPPES

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

JESSICA MARIE SHORT-SLACK LMSW (NPI 1023489770) is an individual clinical provider in Flushing, Michigan, licensed in Michigan (6801098796) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023489770
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA MARIE SHORT-SLACKCredential: LMSW
Location Address5122 PASADENA AVEFlushing, MI 48433-2417
Mailing AddressPo Box 672Grand Blanc, MI 48480-0672 · (810) 429-7359
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 7, 2015
Last NPPES UpdateDecember 12, 20224 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1023489770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801098796
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5122 PASADENA AVE, Flushing, MI 48433

Other Identifiers 1

Medicaid1883825MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Marie Short-slack Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901214956
PECOS Enrollment IDI20210421000297
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability83
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 2

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

Chiropractor
5122 PASADENA AVE
FLUSHING, MI 48433
Chiropractor
5122 PASADENA AVE
FLUSHING, MI 48433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Short-slack's NPI number?

The NPI number for Jessica Short-slack is 1023489770. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Where is Jessica Short-slack located?

Jessica Short-slack practices at 5122 Pasadena Ave, Flushing, MI 48433. The listed phone number is (810) 429-7359.

What is Jessica Short-slack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Short-slack enrolled in Medicare?

Yes. Jessica Short-slack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Short-slack accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas, Inc., McLaren Health Plan Community and Priority Health and 1 other insurer list Jessica Short-slack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Short-slack was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.