Individual provider Active NPI

Jennifer Plymale

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1295222354
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1385 S 5TH St
Columbus, OH 43207-1117
Phone
(614) 963-1892
NPI assigned
Apr 15, 2018
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 Primary

Addresses

Primary practice location

1385 S 5TH St
Columbus, OH 43207-1117

Mailing address

1385 S 5TH St
Columbus, OH 43207-1117
Phone (304) 963-1892

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
I20240513001460 OH Practitioner - Clinical Social Worker 6103267893 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Women's Wellness, LLC CurrentSince May 14, 2025 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Jun 24, 2024 Accepting new patients

Locations

4625 Morse Rd
Ste 200
Gahanna, OH 43230
Phone (614) 383-8381

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

9085 Southern St
Orient, OH 43146
Phone (614) 277-4618

1460 Manning Pkwy
Powell, OH 43065
Phone (614) 383-8381

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1295222354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 S 5TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071117",
            "telephone_number": "304-963-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S 5TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071117",
            "telephone_number": "614-963-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYMALE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.