Jessica Sansoucie, LCSW
NPI 1578070124ActiveIndividual· Social Worker, Clinical· Midland, MI
Social Worker, Clinical (LCSW) in Midland, Michigan, trained at University of Michigan Medical School (class of 2017). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1578070124 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jan 4, 2018 |
| Last updated in NPPES | Dec 27, 2020 |
| Certified by provider | Dec 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CW021262 | PA |
| Social Worker | 104100000X | 6801102083 | MI |
| Social Worker, Clinical | 1041C0700X | 6801106500 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (PA) |
|---|
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Clinical Social Worker |
Medical groups
- Silver Willow Wellness PCPlymouth Meeting, PA · 120 clinicians
- Vital Healthcare SolutionsReading, PA · 113 clinicians
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