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JACQULYN R KANE LLMSW
NPI 1811687528
Social Worker in Plymouth, MI

Active since May 08, 2023PECOS Enrolled
575 S MAIN ST STE 6, PLYMOUTH, MI 48170(734) 451-7800 Get Directions Write a Review

NPPES record last updated: January 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 12, 2025, May 8, 2023 (2 updates tracked since 2023).

About Jacqulyn R Kane Llmsw NPPES

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

JACQULYN R KANE LLMSW (NPI 1811687528) is an individual social worker in Plymouth, Michigan, licensed in Michigan (6851116232) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Livonia, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811687528
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACQULYN R KANECredential: LLMSW
Location Address575 S MAIN ST STE 6Plymouth, MI 48170-1778
Mailing Address46000 Geddes Rd Trlr 223Canton, MI 48188-2353 · (920) 647-6702
Phone(734) 451-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 8, 2023
Last NPPES UpdateJanuary 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1811687528 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 · 6851116232
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.
575 S MAIN ST STE 6, Plymouth, MI 48170
Open in Google Maps ↗

Secondary Practice Location 1

Location 117940 Farmington Rd Ste 302Livonia, MI 48152-3159 · Phone (800) 693-1916

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqulyn R Kane Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981199973
PECOS Enrollment IDI20251217001806
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 Reassignment

Medicare enrollment records show Jacqulyn Kane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richard Kneip, Ph.D., P.C.
25 mi
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 347 clinicians in this Medicare group
NPI 1679739700 (800) 693-1916

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

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.

MR. ROBERT A LINDMAN
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
KATHERINE WOLFE LLBSW
Behavior Technician
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
LILLIE GRACE PIESKE
Case Manager/Care Coordinator
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (800) 467-7654
ZHARIA TAYLOR
Case Manager/Care Coordinator
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
CLARE WATERSTRADT
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
ASHLEY ANN NAZAROFF BS, CAADC-DP
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
ALICIA REGINA BEENEY
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
KIMBERLY RAE MAHAFFA LMSW, CAADC
Social Worker (Clinical)
575 S MAIN ST STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800

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 Jacqulyn Kane's NPI number?

The NPI number for Jacqulyn Kane is 1811687528. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Jacqulyn Kane located?

Jacqulyn Kane practices at 575 S Main St Ste 6, Plymouth, MI 48170. The listed phone number is (734) 451-7800.

What is Jacqulyn Kane's specialty?

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

Is Jacqulyn Kane enrolled in Medicare?

Yes. Jacqulyn Kane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqulyn Kane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqulyn Kane reassigns Medicare benefits to Richard Kneip, Ph.D., P.C. (Clarkston, MI). The 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 Jacqulyn Kane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqulyn Kane accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Jacqulyn Kane 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 Jacqulyn Kane was last updated on January 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.