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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACEY PLANTENBERG MSW
NPI 1912670621
Social Worker - Clinical in Ann Arbor, MI

Active since July 28, 2021PECOS Enrolled
4250 PLYMOUTH RD, ANN ARBOR, MI 48109(734) 764-0231 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Jul 28, 2021 (2 updates tracked since 2021).

About Jacey Plantenberg Msw NPPES

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

JACEY PLANTENBERG MSW (NPI 1912670621) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801121940) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greeley.

NPPES Registry Identity

NPI1912670621
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACEY PLANTENBERGCredential: MSW
Location Address4250 PLYMOUTH RDAnn Arbor, MI 48109-2700
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Phone(734) 764-0231
Sole ProprietorNo
Enumeration DateJuly 28, 2021
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1912670621 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 · 6801121940
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4250 PLYMOUTH RD, Ann Arbor, MI 48109
Open in Google Maps ↗

Secondary Practice Location 1

Location 11300 N 17th AveGreeley, CO 80631-9584 · Phone (970) 347-2120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacey Plantenberg 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 48109 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

NIKOLE MARIE HAMPTON MSW
Social Worker (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-0231
DR. LARA N COUGHLIN PHD
Psychologist (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6443
MICHELE R HASELHUHN NP
Nurse Practitioner
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6443
MARK ANDREW ILGEN PHD
Psychologist (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6443
MR. DAVID WERNER MAAHS LMSW
Social Worker (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 763-4892
CLAUDIA R MILLER NP
Nurse Practitioner
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6443
DR. RICHARD RAYMOND DOPP M.D.
Psychiatry & Neurology (Psychiatry)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Washtenaw County (734) 764-6443
DR. BINA VIJAYA NAIR MD
Specialist
4250 PLYMOUTH RD, RACHEL UPJOHN BUILDING
ANN ARBOR, MI 48109
Washtenaw County (734) 232-0504

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 Jacey Plantenberg's NPI number?

The NPI number for Jacey Plantenberg is 1912670621. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Jacey Plantenberg located?

Jacey Plantenberg practices at 4250 Plymouth Rd, Ann Arbor, MI 48109. The listed phone number is (734) 764-0231.

What is Jacey Plantenberg's specialty?

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

Is Jacey Plantenberg enrolled in Medicare?

Yes. Jacey Plantenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacey Plantenberg was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.