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TEACHING FAMILY HOMES OF UPPER MICHIGAN
NPI 1104876689
Social Worker - Clinical in Marquette, MI

Active since May 12, 2006CLIA 23D2157704 · Waiver
1000 SILVER CREEK RD, MARQUETTE, MI 49855(906) 249-5437(906) 249-5438 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Teaching Family Homes Of Upper Michigan NPPES

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

TEACHING FAMILY HOMES OF UPPER MICHIGAN (NPI 1104876689) is a healthcare organization registered as a clinical in Marquette, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Dana Koziara-plutchak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104876689
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTEACHING FAMILY HOMES OF UPPER MICHIGAN
Location Address1000 SILVER CREEK RDMarquette, MI 49855-8948
Mailing Address1000 Silver Creek RdMarquette, MI 49855-8948 · (906) 249-5437 · Fax (906) 249-5438
Phone(906) 249-5437
Fax(906) 249-5438
Organization SubpartNo
Authorized OfficialDana Koziara-plutchakCeo · (906) 249-5437
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1104876689 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.
1000 SILVER CREEK RD, Marquette, MI 49855
Open in Google Maps ↗

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)

Teaching Family Homes Of Upper Michigan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Teaching Family Homes Of Upper Michigan, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dana Koziara-Plutchak, LLMSW
Clinical Social Worker
NPI 1609689942
1000 SILVER CREEK RD
Marquette, MI 49855
(906) 249-5437
✔ PECOSSame address
Maegan Wickstrom, LLMSW
Clinical Social Worker
NPI 1497363063
5698W US HIGHWAY 2
Manistique, MI 49854
(906) 632-5272
✔ PECOS64 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2157704

Teaching Family Homes · Marquette, MI
Active · expires Nov 12, 2026
CLIA Number23D2157704
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorCatherine A. Kroll
Laboratory Phone(906) 346-9275
Laboratory LocationTeaching Family Homes1000 Silver Creek Road, Marquette, MI 49855
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Teaching Family Homes Of Upper Michigan's NPI number?

The NPI number for Teaching Family Homes Of Upper Michigan is 1104876689. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Teaching Family Homes Of Upper Michigan located?

Teaching Family Homes Of Upper Michigan is located at 1000 Silver Creek Rd, Marquette, MI 49855. The listed phone number is (906) 249-5437.

What is Teaching Family Homes Of Upper Michigan's specialty?

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

Is Teaching Family Homes Of Upper Michigan enrolled in Medicare?

Yes. Teaching Family Homes Of Upper Michigan is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teaching Family Homes Of Upper Michigan?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Teaching Family Homes Of Upper Michigan. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Teaching Family Homes Of Upper Michigan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2157704) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Teaching Family Homes Of Upper Michigan accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Teaching Family Homes Of Upper Michigan 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 Teaching Family Homes Of Upper Michigan was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.