VICTORIA A POLENI MSW
NPI 1417194895
Social Worker - Clinical in Grand Rapids, MI

Active since January 07, 2009PECOS EnrolledAccepts Medicare Assignment
600 3RD ST NW STE 101, GRAND RAPIDS, MI 49504(616) 901-0149 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 4, 2025, Jun 15, 2023, Nov 14, 2022 (3 updates tracked since 2022).

About Victoria A Poleni Msw NPPES

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

VICTORIA A POLENI MSW (NPI 1417194895) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801064151) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kalamazoo, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1417194895
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVICTORIA A POLENICredential: MSW
Location Address600 3RD ST NW STE 101Grand Rapids, MI 49504
Mailing Address14107 Belding Rd NeBelding, MI 48809-9635 · (616) 901-0149
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 7, 2009
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1417194895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801064151
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 6801064151 (MI)
600 3RD ST NW STE 101, Grand Rapids, MI 49504

Secondary Practice Location 1

Location 14341 S Westnedge Ave Ste 1203Kalamazoo, MI 49008-3284 · Phone (269) 823-2375

Other Identifiers 1

Medicaid1417194895MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria A Poleni Msw 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 ID143385450
PECOS Enrollment IDI20090220000436
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Victoria Poleni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counselor
4328 KALAMAZOO AVE SE
Grand Rapids, MI 49508
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
Social Worker
4341 S WESTNEDGE AVE STE 1203
Kalamazoo, MI 49008
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49504 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.

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 Victoria Poleni's NPI number?

The NPI number for Victoria Poleni is 1417194895. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Victoria Poleni located?

Victoria Poleni practices at 600 3rd St NW Ste 101, Grand Rapids, MI 49504. The listed phone number is (616) 901-0149.

What is Victoria Poleni's specialty?

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

Is Victoria Poleni enrolled in Medicare?

Yes. Victoria Poleni 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.

Which organizations bill Medicare for Victoria Poleni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Poleni reassigns Medicare benefits to 2 organizations: Sheri Rodriguez, Lmsw, Acsw (Grand Rapids, MI) and Cindy Vanderweele LLC (Kalamazoo, MI). Each 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 Victoria Poleni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victoria Poleni accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Victoria Poleni 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 Victoria Poleni was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.