JESSICA SANSOUCIE LCSW
NPI 1578070124
Social Worker - Clinical in Midland, MI

Active since January 04, 2018PECOS EnrolledAccepts Medicare Assignment
218 FAST ICE DR, MIDLAND, MI 48642(989) 631-2320 Get Directions Write a Review

NPPES record last updated: December 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2020, Oct 8, 2020 (2 updates tracked since 2020).

About Jessica Sansoucie Lcsw NPPES

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

JESSICA SANSOUCIE LCSW (NPI 1578070124) is an individual clinical provider in Midland, Michigan, licensed in Pennsylvania (CW021262) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2017).

NPPES Registry Identity

NPI1578070124
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA SANSOUCIECredential: LCSW
Location Address218 FAST ICE DRMidland, MI 48642-6167
Mailing Address207 Mckean CtNorth Wales, PA 19454-1081 · (609) 678-8007
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2017
Enumeration DateJanuary 4, 2018
Last NPPES UpdateDecember 27, 20202 updates tracked since enumeration
NPPES CertifiedDecember 27, 2020
NPI 1578070124 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
Licenses Licensed in PA · CW021262 Licensed in MI · 6801106500
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 6801102083 (MI)
218 FAST ICE DR, Midland, MI 48642

Other Names 1

Former Name (1)Jessica Matczak

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

Jessica Sansoucie Lcsw 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 ID7416360532
PECOS Enrollment IDI20210111001482
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 48642 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.

Registered Nurse
218 FAST ICE DR
MIDLAND, MI 48642
Case Manager/Care Coordinator
218 FAST ICE DR
MIDLAND, MI 48642
Social Worker (Clinical)
218 FAST ICE DR
MIDLAND, MI 48642
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Psychologist (Clinical)
218 FAST ICE DR
MIDLAND, MI 48642
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Case Manager/Care Coordinator
218 FAST ICE DR
MIDLAND, MI 48642

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 Jessica Sansoucie's NPI number?

The NPI number for Jessica Sansoucie is 1578070124. It was assigned to this individual provider in the NPPES registry on January 4, 2018. The provider is also known as Jessica Matczak.

Where is Jessica Sansoucie located?

Jessica Sansoucie practices at 218 Fast Ice Dr, Midland, MI 48642. The listed phone number is (989) 631-2320.

What is Jessica Sansoucie's specialty?

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

Is Jessica Sansoucie enrolled in Medicare?

Yes. Jessica Sansoucie 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.

When was this NPI record last updated?

The NPPES record for Jessica Sansoucie was last updated on December 27, 2020. 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.