ALISON MARIE CIESA-BOOMER LMSW
NPI 1396269122
Social Worker - Clinical in Grand Rapids, MI

Q: What is Alison Ciesa-boomer's NPI number?

The NPI number for Alison Ciesa-boomer is 1396269122. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Q: What is Alison Ciesa-boomer's specialty?

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

Active since August 02, 2017PECOS EnrolledAccepts Medicare Assignment

300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2023, Aug 2, 2017 (2 updates tracked since 2017).

On this page

About Alison Marie Ciesa-boomer Lmsw NPPES

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

ALISON MARIE CIESA-BOOMER LMSW (NPI 1396269122) is an individual clinical provider in Grand Rapids, Michigan and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396269122

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALISON MARIE CIESA-BOOMERCredential: LMSW

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address2115 Melita Ave NeGrand Rapids, MI 49505-4236 · (269) 779-9619

Phone(616) 455-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 2, 2017

Last NPPES UpdateJune 1, 20232 updates tracked since enumeration

NPPES CertifiedJune 1, 2023

✔ NPI 1396269122 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.

300 68TH ST SE, Grand Rapids, MI 49548

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Alison Marie Ciesa-boomer 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 ID4789944018

PECOS Enrollment IDI20180207000500

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 49548 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.

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.

JILLIAN LEIGH MURRAY L.C.S.W

Social Worker (Clinical)