Individual provider Active NPI

Susan M Plucknett, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1356537294
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013458 Issued in PA
Practice address
100 S Juniper St FL 3
Philadelphia, PA 19107-1316
Phone
(267) 999-9534
Fax
(833) 613-2680
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05647600 NJ
Clinical Social Worker 1041C0700X CW013458 PA Primary

Addresses

Primary practice location

100 S Juniper St FL 3
Philadelphia, PA 19107-1316

Mailing address

4003 Westaway Dr Apt C3
Lafayette Hill, PA 19444-1522
Phone (215) 983-1999

Other practice location 1

4003 Westaway Dr Apt C3
Lafayette Hill, PA 19444-1522
Phone (215) 983-1999

Other practice location 2

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (267) 999-9534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080104000279 PA Practitioner - Clinical Social Worker 5597845487 Reassigns benefits to 1 organization
I20220824002840 NJ Practitioner - Clinical Social Worker 5597845487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quartet Medical GroupGroup PAC ID 5294274536, 13 clinicians

Practice addresses (Care Compare)

Honesdale, PA 18431
Phone (833) 258-8498

1 Gateway Ctr
Suite 2600
Newark, NJ 07102-5323
Phone (267) 999-9534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quartet Medical Group Clinical CurrentSince Aug 1, 2024 Accepting new patients
Quartet Medical Group of New Jersey Professional Corporation Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

1 Gateway Ctr
Ste 2600
Newark, NJ 07102
Phone (267) 999-9534

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

142 Upper Cross Rd
Honesdale, PA 18431

1601 Market St
Ste 1500
Philadelphia, PA 19103
Phone (267) 999-9534

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

Interoperability endpoints

  • Direct secure messaging: susan.plucknett.1@26068.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1356537294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 WESTAWAY DR APT C3",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441522",
            "telephone_number": "215-983-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JUNIPER ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071316",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4003 Westaway Dr Apt C3",
            "address_purpose": "LOCATION",
            "city": "Lafayette Hill",
            "state": "PA",
            "postal_code": "194441522",
            "country_code": "US",
            "telephone_number": "215-983-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUCKNETT",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05647600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.