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COMMUNITY ELEVATION LLC
NPI 1053034199
Social Worker - Clinical in Ann Arbor, MI

Active since September 23, 2022
3657 BURNHAM RD, ANN ARBOR, MI 48108(734) 263-9100(734) 369-8544 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2025, Sep 23, 2022 (2 updates tracked since 2022).

About Community Elevation Llc NPPES

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

COMMUNITY ELEVATION LLC (NPI 1053034199), doing business as Community Elevation, is a healthcare organization registered as a clinical in Ann Arbor, Michigan and active in the NPI registry since September 2022. The organization lists Dellkawaa Paul Jacobs, Clinical Social Woker, as its authorized official.

NPPES Registry Identity

NPI1053034199
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOMMUNITY ELEVATION LLC
Location Address3657 BURNHAM RDAnn Arbor, MI 48108-9662
Mailing Address3657 Burnham RdAnn Arbor, MI 48108-9662 · (734) 263-9100 · Fax (734) 369-8544
Phone(734) 263-9100
Fax(734) 369-8544
Organization SubpartNo
Authorized OfficialDellkawaa Paul JacobsClinical Social Woker · (734) 263-9100
Enumeration DateSeptember 23, 2022
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1053034199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3657 BURNHAM RD, Ann Arbor, MI 48108
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Other Names 1

Doing Business AsCommunity Elevation

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Elevation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Community Elevation LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dellkawaa Jacobs, LCSW
Clinical Social Worker
NPI 1508317538
120 E LIBERTY ST STE 200
Ann Arbor, MI 48104
(734) 585-6966
✔ PECOS3.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Elevation LLC's NPI number?

The NPI number for Community Elevation LLC is 1053034199. It was assigned to this organization in the NPPES registry on September 23, 2022. The provider is doing business as Community Elevation.

Where is Community Elevation LLC located?

Community Elevation LLC is located at 3657 Burnham Rd, Ann Arbor, MI 48108. The listed phone number is (734) 263-9100.

What is Community Elevation LLC's specialty?

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

Is Community Elevation LLC enrolled in Medicare?

Yes. Community Elevation LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Elevation LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Community Elevation LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Elevation LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Community Elevation LLC 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 Community Elevation LLC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.