JACALYN SUE LASICH MSW
NPI 1487909396
Social Worker - Clinical in Traverse City, MI

Active since July 17, 2012PECOS Enrolled
217 S MADISON STREET, TRAVERSE CITY, MI 49684(231) 392-8400(231) 935-7888 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 7, 2018, Jul 28, 2017 (3 updates tracked since 2017).

About Jacalyn Sue Lasich Msw NPPES

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

JACALYN SUE LASICH MSW (NPI 1487909396) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801089753) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487909396
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACALYN SUE LASICHCredential: MSW
Location Address217 S MADISON STREETTraverse City, MI 49684-2320
Mailing Address1414 W Fair Ave, Ste 332Marquette, MI 49855-5407 · (231) 935-6080 · Fax (231) 935-6081
Fax(231) 935-7888
Sole ProprietorYes
Enumeration DateJuly 17, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1487909396 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 · 6801089753
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.
217 S MADISON STREET, Traverse City, MI 49684

Other Identifiers 2

Other6801089753MI · Michigan License
Medicaid1487909396MI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacalyn Sue Lasich Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49684 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 15

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

Internal Medicine (Hematology & Oncology)
217 S MADISON STREET, STE 2
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE, MI 49684
Nurse Practitioner (Family)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Nurse Practitioner (Adult Health)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Nurse Practitioner
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Nurse Practitioner (Adult Health)
217 S MADISON STREET
TRAVERSE CITY, MI 49684

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 Jacalyn Lasich's NPI number?

The NPI number for Jacalyn Lasich is 1487909396. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Jacalyn Lasich located?

Jacalyn Lasich practices at 217 S Madison Street, Traverse City, MI 49684. The listed phone number is (231) 392-8400.

What is Jacalyn Lasich's specialty?

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

Is Jacalyn Lasich enrolled in Medicare?

Yes. Jacalyn Lasich is registered in the Medicare PECOS enrollment system.

What insurance does Jacalyn Lasich 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 Jacalyn Lasich 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 Jacalyn Lasich was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.