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CHALICE M KOPACKI LMSW, MPA
NPI 1972922516
Social Worker in Traverse City, MI

Active since April 10, 2014PECOS Enrolled
4020 COPPER VW STE 104, TRAVERSE CITY, MI 49684(231) 421-6921(231) 421-7852 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2018, Aug 24, 2018 (2 updates tracked since 2018).

About Chalice M Kopacki Lmsw, Mpa NPPES

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

CHALICE M KOPACKI LMSW, MPA (NPI 1972922516) is an individual social worker in Traverse City, Michigan, licensed in Michigan (6801090700) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1972922516
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCHALICE M KOPACKICredential: LMSW, MPA
Location Address4020 COPPER VW STE 104Traverse City, MI 49684
Mailing Address3785 Bay RdSaginaw, MI 48603-2433 · (989) 791-2455 · Fax (989) 791-1392
Phone(231) 421-6921
Fax(231) 421-7852
Sole ProprietorNo
Enumeration DateApril 10, 2014
Last NPPES UpdateSeptember 6, 20182 updates tracked since enumeration
✔ NPI 1972922516 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 · 6801090700
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.
4020 COPPER VW STE 104, Traverse City, MI 49684
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Secondary Practice Location 1

Location 1550 Munson AveTraverse City, MI 49686-3580 · Phone (231) 935-6520 · Fax (231) 935-9116

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)

Chalice M Kopacki Lmsw, Mpa 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chalice Kopacki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richard Kneip, Ph.D., P.C.
180 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
Grow Healthcare Group PA
1,343 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Michigan enrollment
  • 411 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 12

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

MS. MELANIE SUE LUTZ LMSW
Social Worker (Clinical)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-6921
JULIE KRAUTH NP
Nurse Practitioner (Adult Health)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-6921
MARYLEE PAKIESER FNP
Nurse Practitioner (Family)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-6921
SARAH RADEMACHER LLMSW
Social Worker
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-6921
AMY RASMUSSEN RD
Dietitian, Registered
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-6921
SUE ELLEN DUNHAM FNP
Nurse Practitioner
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-6921
JESSICA WIEMERSLAGE
Social Worker (Clinical)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-6921
MARY CLARE KURZ
Nurse Practitioner (Gerontology)
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 421-6921

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 Chalice Kopacki's NPI number?

The NPI number for Chalice Kopacki is 1972922516. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Chalice Kopacki located?

Chalice Kopacki practices at 4020 Copper Vw Ste 104, Traverse City, MI 49684. The listed phone number is (231) 421-6921.

What is Chalice Kopacki's specialty?

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

Is Chalice Kopacki enrolled in Medicare?

Yes. Chalice Kopacki is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chalice Kopacki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chalice Kopacki reassigns Medicare benefits to 2 organizations: Richard Kneip, Ph.D., P.C. (Clarkston, MI) and Grow Healthcare Group PA (Miami, FL). Each 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 Chalice Kopacki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chalice Kopacki 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 Chalice Kopacki 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 Chalice Kopacki was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.