JESSE DAVID LALLA LMSW
NPI 1083069223
Social Worker - Clinical in Dearborn, MI

Q: What is Jesse Lalla's NPI number?

The NPI number for Jesse Lalla is 1083069223. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Q: What is Jesse Lalla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jesse Lalla was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment

5500 AUTO CLUB DR, DEARBORN, MI 48126(313) 317-2000(313) 317-2090 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jesse David Lalla Lmsw NPPES

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

JESSE DAVID LALLA LMSW (NPI 1083069223) is an individual clinical provider in Dearborn, Michigan, licensed in Michigan (6801095840) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083069223

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJESSE DAVID LALLACredential: LMSW

Location Address5500 AUTO CLUB DRDearborn, MI 48126-2779

Mailing Address5111 Auto Club DrDearborn, MI 48126-2749 · (313) 317-2000 · Fax (313) 317-2090

Phone(313) 317-2000

Fax(313) 317-2090

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 25, 2016

Last NPPES UpdateFebruary 26, 2021

NPPES CertifiedFebruary 26, 2021

✔ NPI 1083069223 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 · 6801095840

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.

5500 AUTO CLUB DR, Dearborn, MI 48126

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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, Priority Health.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

Jesse David Lalla 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 ID3678869658

PECOS Enrollment IDI20160831002140

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 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 $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Other Providers at the Same Location NPPES 20

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

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