Individual provider Active NPI

Nikki Plummer, LCSWC

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1225674336
Registry record updated Nov 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15181 Issued in MD
Practice address
308 Glenwood Rd
Bel Air, MD 21014-5537
Phone
(443) 866-5203
NPI assigned
Nov 24, 2019
Last updated
Nov 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15181 MD Primary

Addresses

Primary practice location

308 Glenwood Rd
Bel Air, MD 21014-5537

Mailing address

308 Glenwood Rd
Bel Air, MD 21014-5537
Phone (443) 866-5203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20200922000070 MD Practitioner - Clinical Social Worker 1153749262

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
Harford Health and WellnessGroup PAC ID 1658702253, 4 clinicians

Practice addresses (Care Compare)

4 N Ave
Suite 420
Bel Air, MD 21014-2314
Phone (410) 638-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1225674336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GLENWOOD RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145537",
            "telephone_number": "443-866-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GLENWOOD RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145537",
            "telephone_number": "443-866-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "NIKKI",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.