Individual provider Active NPI

Jessica Lynn Felarca, LCSW, LMSW-C

  • Clinical Social Worker
  • Grayling, MI
National Provider Identifier
1407345184
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121512 Issued in MI
Practice address
204 Meadows Dr
Grayling, MI 49738-2013
Phone
(989) 348-8522
NPI assigned
May 8, 2018
Reactivated
Mar 31, 2021
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW98715 CA
Clinical Social Worker 1041C0700X 6801121512 MI Primary
Clinical Social Worker 1041C0700X 125338 CA

Addresses

Primary practice location

204 Meadows Dr
Grayling, MI 49738-2013

Mailing address

204 Meadows Dr
Grayling, MI 49738-2013
Phone (989) 348-8522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241004002318 CA Practitioner - Clinical Social Worker 6901337674 Reassigns benefits to 1 organization
I20260507001607 MI Practitioner - Clinical Social Worker 6901337674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

204 Meadows Dr
Grayling, MI 49738-2013
Phone (989) 348-8522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125338CAMDClinical Social Worker
ASW98715CAMDClinical Social Worker
6801121512MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Sep 30, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Sep 30, 2024 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego Inc Current Accepting new patients

Locations

1000 Euclid Ave
National City, CA 91950
Phone (619) 267-8100

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1407345184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEADOWS DR",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382013",
            "telephone_number": "989-348-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEADOWS DR",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382013",
            "telephone_number": "989-348-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELARCA",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LCSW, LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "deactivation_date": "2021-02-23",
        "reactivation_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW98715",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121512",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

Verify at the official NPI Registry.