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

Q: 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.

Q: What is Chalice Kopacki's specialty?

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

Q: 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 7 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 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: August 02, 2026.

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

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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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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)