Stephen William Plumb, LISW, LICSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0009091 Issued in OH

Practice address

11050 Mt Belvedere Blvd
USA Meddac/Credentials
Fort Drum, NY 13602-5004

Phone

(315) 772-4025

Fax

(315) 772-9498

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Stephen W. Plumb Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194708362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BRAINARD ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014004",
            "telephone_number": "315-785-3600",
            "fax_number": "315-785-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MT BELVEDERE BLVD",
            "address_2": "USA MEDDAC/CREDENTIALS",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025004",
            "telephone_number": "315-772-4025",
            "fax_number": "315-772-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LISW, LICSW, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "PLUMB",
            "middle_name": "W.",
            "prefix": "MR.",
            "credential": "LISW, BCD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Pettit
• Julie Pickett, OD
• Adam M Pinegar, PT, DPT, OCS
• Nicolette Young Pittman, DMD
• Andrew Place, PT, DPT
• Brett Poffenberger, PA
• Quintin E Poore, PHD
• Prany Powell, DENTAL HYGIENIST
• Nathan Lee Preston, DO
• Lara Kristina Primak, M.D.

• Clinical Social Worker in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.