Individual provider Active NPI

Sarah S Plassman, MSW, LISW-S

  • Clinical Social Worker
  • Centerville, OH
National Provider Identifier
1154675254
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1200615 Issued in OH
Practice address
175 S Main St
Centerville, OH 45458-2372
Phone
(937) 434-0540
Fax
(937) 434-6726
NPI assigned
Oct 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I1200615 OH
Clinical Social Worker 1041C0700X I1200615 OH Primary

Addresses

Primary practice location

175 S Main St
Centerville, OH 45458-2372

Mailing address

175 S Main St
Centerville, OH 45458-2372
Phone (937) 434-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200604002156 OH Practitioner - Clinical Social Worker 5496176232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Counseling Center LLCGroup PAC ID 4880024843, 5 clinicians

Practice addresses (Care Compare)

175 S Main St
Centerville, OH 45458-2372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1200615OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Counseling Center LLC Clinical CurrentSince May 1, 2020 Accepting new patients
Paul D Entner PastSince Apr 5, 2020 Accepting new patients

Locations

175 S Main St
Centerville, OH 45458
Phone (937) 434-0540

Organizations & group practices 2

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": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1154675254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582372",
            "telephone_number": "937-434-0540",
            "fax_number": "937-434-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582372",
            "telephone_number": "937-434-0540",
            "fax_number": "937-434-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASSMAN",
        "first_name": "SARAH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I1200615",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1200615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.