LISA ELAINE PLINE (LMSW, CAADC, ADS) – Social Worker, NPI 1386242345

LISA ELAINE PLINE (LMSW, CAADC, ADS) is a healthcare provider. based in Allegan, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW, CAADC, ADS. They hold a License No. 6801118904 (MI). The NPI Number for LISA ELAINE PLINE (LMSW, CAADC, ADS) is 1386242345

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LISA ELAINE PLINE (LMSW, CAADC, ADS)
NPI
1386242345
Phone
(269) 673-6617
Address
540 JENNER DR
Enumeration Date
13 October 2020
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696736617
Graduation Year
2019 (7 years ago)
PAC ID
5395285621
Group Practice PAC ID
1153317607
Professional Enrollment ID
I20240912002771
Address ID
MI490101517AL540XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for LISA ELAINE PLINE (LMSW, CAADC, ADS)

  • 540 JENNER DR

    ALLEGAN, MI 490101517

    Phone: (269) 673-6617

    Type: Mailing

  • 2303 KALAMAZOO AVE SE

    GRAND RAPIDS, MI 495073780

    Phone: (616) 965-8390

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240912002771IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153317607View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

How do payers reference LISA ELAINE PLINE (LMSW, CAADC, ADS)?
For LISA ELAINE PLINE (LMSW, CAADC, ADS), use NPI 1386242345 as the unique 10-digit identifier.
Would LISA ELAINE PLINE (LMSW, CAADC, ADS) appear as active to a payer?
You can treat LISA ELAINE PLINE (LMSW, CAADC, ADS) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe LISA ELAINE PLINE (LMSW, CAADC, ADS)'s focus?
For LISA ELAINE PLINE (LMSW, CAADC, ADS), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Where in Michigan is LISA ELAINE PLINE (LMSW, CAADC, ADS) registered?
Use Allegan, Michigan as the headline location for LISA ELAINE PLINE (LMSW, CAADC, ADS) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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