MR. JESSE KAUFFMAN LMSW
NPI 1487150769
Social Worker in Ann Arbor, MI

Q: What is Jesse Kauffman's NPI number?

The NPI number for Jesse Kauffman is 1487150769. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Q: What is Jesse Kauffman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Jesse Kauffman enrolled in Medicare?

No. Jesse Kauffman has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jesse Kauffman was last updated on March 22, 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 04, 2018Opted out of Medicare · through Apr 1, 2027

2800 S STATE ST STE 215, ANN ARBOR, MI 48104(734) 210-1285 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jesse Kauffman Lmsw NPPES

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

MR. JESSE KAUFFMAN LMSW (NPI 1487150769) is an individual social worker in Ann Arbor, Michigan, licensed in Michigan (6801098893) and active in the NPI registry since April 2018. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1487150769

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. JESSE KAUFFMANCredential: LMSW

Location Address2800 S STATE ST STE 215Ann Arbor, MI 48104-7103

Mailing Address2208 Independence BlvdAnn Arbor, MI 48104-6441 · (419) 575-1556

Phone(734) 210-1285

Sole ProprietorNo

Enumeration DateApril 4, 2018

Last NPPES UpdateMarch 22, 2021

NPPES CertifiedJanuary 6, 2021

✔ NPI 1487150769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801098893

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2800 S STATE ST STE 215, Ann Arbor, MI 48104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jesse Kauffman Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

MICHELLE CRANDALL RN, BSN, CCM

Registered Nurse