KELLY PASSALACQUA MSW, LMSW, ACSW
NPI 1851499974
Social Worker - Clinical in Bay City, MI

Q: What is Kelly Passalacqua's NPI number?

The NPI number for Kelly Passalacqua is 1851499974. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Kelly Passalacqua's specialty?

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

Q: Is Kelly Passalacqua enrolled in Medicare?

No. Kelly Passalacqua has opted out of Medicare through July 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kelly Passalacqua was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 20, 2006Opted out of Medicare · through Jul 13, 2027

114 TUSCOLA, BAY CITY, MI 48708(989) 895-0788 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kelly Passalacqua Msw, Lmsw, Acsw NPPES

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

KELLY PASSALACQUA MSW, LMSW, ACSW (NPI 1851499974) is an individual clinical provider in Bay City, Michigan, licensed in Michigan (6801078510) and active in the NPI registry since September 2006. She has opted out of Medicare through July 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851499974

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY PASSALACQUACredential: MSW, LMSW, ACSW

Location Address114 TUSCOLABay City, MI 48708-6995

Mailing Address114 TuscolaBay City, MI 48708-6995 · (989) 895-0788

Phone(989) 895-0788

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1851499974 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 · 6801078510

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.

114 TUSCOLA, Bay City, MI 48708

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Other Identifiers 4

Other042659MI · Value Options

Other0995532MI · Healthplus

Other042659MI · Cigna

Other1014496MI · Mclaren

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Passalacqua Msw, Lmsw, Acsw 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 July 13, 2015 through July 13, 2027.

Opt-Out Effective DateJuly 13, 2015

Opt-Out In Effect ThroughJuly 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48708 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 5

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

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