Jennifer L Plisko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65553 Issued in CA

Practice address

77C Excelsior Ave
Saratoga Springs, NY 12866-8690

Phone

(518) 573-7410

NPI assigned

Aug 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michele Lob, a Professional Corporation

  • Community/Behavioral Health Agency
  • Newport Beach, CA
  • NPI 1174075675
  NPD (past)

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1013173293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 BIRCH ST # 5039",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602616",
            "telephone_number": "518-573-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77C EXCELSIOR AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668690",
            "telephone_number": "518-573-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISKO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "65553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Leonard Pinto, M.D.
• Linda Pioggia, LMHC
• Jeannie C Piparo, PA
• Mollie Piscitelli
• Play Move Grow Occupational Therapy PLLC
• Lindsay Clark Cioffi Poirier, LMHC
• Greer Pomeroy, MD
• John Nickolas Popielarski, D.D.S.
• Alexandra R. Porcu, D.D.S.
• Rebekah Poulin

• All providers in Saratoga Springs, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.