Individual provider Active NPI

Susan Marie Plakitsis, LCSW-C

  • Clinical Social Worker
  • Hunt Valley, MD
National Provider Identifier
1003077827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07401 Issued in MD
Practice address
9 Schilling Rd Ste 102
Hunt Valley, MD 21031-8611
Phone
(410) 771-9220
Fax
(410) 771-9301
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07401 MD Primary

Addresses

Primary practice location

9 Schilling Rd Ste 102
Hunt Valley, MD 21031-8611

Mailing address

9 Schilling Rd.
Suite 102
Hunt Valley, MD 21031-9999
Phone (410) 771-9220

Other names 1

  • Susan Marie Rincavage Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07401MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Franklin Square Physicians LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003077827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD.",
            "address_2": "SUITE 102",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210319999",
            "telephone_number": "410-771-9220",
            "fax_number": "410-771-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD STE 102",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318611",
            "telephone_number": "410-771-9220",
            "fax_number": "410-771-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAKITSIS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RINCAVAGE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.