Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacalyn Sue Lasich, MSW

Individual provider Clinical Social Worker · NPI 1487909396

Jacalyn Sue Lasich, MSW is a Clinical Social Worker in Traverse City, Michigan. Qualified in 2007, 19 years ago. Practices with University Physician Group, a 402-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2012
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

217 S Madison St
Traverse City, MI 49684-2320
Phone: (231) 392-8400
Fax: (231) 935-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801089753 (MI)

Record details

NPI number1487909396
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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