Cheryl Plank

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

011252 Issued in CT

Practice address

300 Governors Hwy
South Windsor, CT 06074-2422

Phone

(860) 996-0031

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

Yes

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

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.

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive Therapeutics, LLC

  • Community/Behavioral Health Agency
  • South Windsor, CT
  • NPI 1881270858
  NPD Authorized official
• Bergin Counseling and Consultation, PLLC

  • Counselor
  • Vernon, CT
  • NPI 1326904665
  NPD
• Community Health Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor, CT
  • NPI 1215979810
  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1225460108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2559",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "06248",
            "telephone_number": "860-494-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GOVERNORS HWY",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742422",
            "telephone_number": "860-996-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANK",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2021-04-07",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Peter Petruzzi, R.PH.
• Mary P Petruzzi, R.PH
• Walter Pierog, D.M.D.
• Pinnacle Rehabilitation Network, LLC
• Nicole Pipitone, LPC
• Playworks Therapy for Children, LLC
• Podiatrycare, PC
• Mackenzie Porcello, LCSW
• Meghan Porcello
• Leah G Post, MD

• Clinical Social Worker in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.