MR. THOMAS DANIEL JACHULSKI LMSW
NPI 1508255001
Social Worker - Clinical in Grand Rapids, MI

Active since January 21, 2015PECOS Enrolled
3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-1500 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 3, 2019, May 9, 2017 (2 updates tracked since 2017).

About Mr. Thomas Daniel Jachulski Lmsw NPPES

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

MR. THOMAS DANIEL JACHULSKI LMSW (NPI 1508255001) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801097000) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1508255001
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THOMAS DANIEL JACHULSKICredential: LMSW
Location Address3225 N EVERGREEN DR NEGrand Rapids, MI 49525
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Sole ProprietorYes
Enumeration DateJanuary 21, 2015
Last NPPES UpdateDecember 3, 20192 updates tracked since enumeration
NPI 1508255001 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 · 6801097000
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 6801097000 (MI)
3225 N EVERGREEN DR NE, Grand Rapids, MI 49525

Secondary Practice Location 1

Location 11959 Thornapple River Dr SEGrand Rapids, MI 49546-9706 · Phone (616) 558-5345

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)

Mr. Thomas Daniel Jachulski Lmsw 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 49525 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.

Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Psychiatry & Neurology (Psychiatry)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Psychiatry & Neurology (Psychiatry)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Psychologist
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Counselor (Professional)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508255001, enumerated as an "individual" on January 21, 2015.

The provider is located at 3225 N EVERGREEN DR NE GRAND RAPIDS, MI 49525 and the phone number is (616) 364-1500.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.