Active NPI
Susan M Plucknett, LCSW
- Clinical Social Worker
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013458
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quartet Medical Group | Clinical | Current | Accepting new patients |
| Quartet Medical Group of New Jersey Professional Corporation | Clinical | Current | 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
- 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.
-
- Psychiatry Physician
- Newark, NJ
- NPI 1346947967
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.