MRS. ALISSA MAE ZACK LCSW
NPI 1992544951
Social Worker - Clinical in Rice Lake, MN

Active since May 21, 2024PECOS EnrolledAccepts Medicare Assignment
4474 W CALVARY RD, RICE LAKE, MN 55803(218) 591-8590 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2024, Jun 6, 2024 (2 updates tracked since 2024).

About Mrs. Alissa Mae Zack Lcsw NPPES

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

MRS. ALISSA MAE ZACK LCSW (NPI 1992544951) is an individual clinical provider in Rice Lake, Minnesota, licensed in Minnesota (31521) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992544951
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ALISSA MAE ZACKCredential: LCSW
Location Address4474 W CALVARY RDRice Lake, MN 55803-1269
Mailing Address4474 W Calvary RdRice Lake, MN 55803-1269 · (218) 591-8590
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 21, 2024
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1992544951 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 MN · 31521
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.
4474 W CALVARY RD, Rice Lake, MN 55803

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Alissa Mae Zack Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981143559
PECOS Enrollment IDI20240827002515
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 Alissa Zack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
4474 W CALVARY RD
Rice Lake, MN 55803
  • Reassigned Medicare billing, Minnesota enrollment
Adult Mental Health
306 W SUPERIOR ST STE 1000
Duluth, MN 55802
  • Reassigned Medicare billing, Minnesota enrollment
  • 19 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55803 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

Social Worker (Clinical)
4474 W CALVARY RD
RICE LAKE, MN 55803

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 Alissa Zack's NPI number?

The NPI number for Alissa Zack is 1992544951. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Alissa Zack located?

Alissa Zack practices at 4474 W Calvary Rd, Rice Lake, MN 55803. The listed phone number is (218) 591-8590.

What is Alissa Zack's specialty?

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

Is Alissa Zack enrolled in Medicare?

Yes. Alissa Zack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alissa Zack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Zack reassigns Medicare benefits to 2 organizations: New Mercies Counseling LLC (Rice Lake, MN) and Insight Counseling Duluth, LLC (Duluth, MN). 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 Alissa Zack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alissa Zack accept?

Health plans from HealthPartners list Alissa Zack 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 Alissa Zack was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.