Kathryn Ploeger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7614 Issued in TN

Practice address

4803 Columbia Pike
Thompsons Station, TN 37179-5207

Phone

(615) 790-0567

Fax

(615) 814-2924

NPI assigned

Nov 20, 2015

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jun 22, 2025 through Jun 22, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1265806780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD STE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641312",
            "telephone_number": "615-790-0567",
            "fax_number": "615-814-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 COLUMBIA PIKE",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795207",
            "telephone_number": "615-790-0567",
            "fax_number": "615-814-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Parkwood Dr",
            "address_2": "Apt Q12",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489173227",
            "country_code": "US",
            "telephone_number": "530-574-7034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Commerce Ave SW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034101",
            "country_code": "US",
            "telephone_number": "616-258-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOEGER",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Thompsons Station, TN
• Providers in Thompsons Station, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.