Mary Jo Pleuss, CSW, ICS, CSAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2687-120 Issued in WI

Practice address

115 N Center St
Beaver Dam, WI 53916-2119

Phone

(920) 887-1766

Fax

(920) 887-2322

NPI assigned

Feb 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1033501366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N CENTER ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162119",
            "telephone_number": "920-887-1766",
            "fax_number": "920-887-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CENTER ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162119",
            "telephone_number": "920-887-1766",
            "fax_number": "920-887-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEUSS",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "CSW, ICS, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15337-135",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15380-132",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2687-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene P Philipp Jr., PSYD
• Mary C Phung, CRNA
• Physical Therapy Solutions, Inc.
• Danielle C Pickart
• Dena L Piechowski, NP
• Phyllis Ann Pleuss, LCSW
• David Evan Poehr
• Dawn Debra Poull, FNP-BC
• Powerback Rehabilitation LLC
• Prairie Ridge Health, Inc.

• Social Worker in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.