Mary A Plonka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084883 Issued in NY

Practice address

112 South Clinton St
Olean, NY 14760-9634

Phone

(716) 373-6735

Fax

(888) 622-1235

NPI assigned

Sep 18, 2013

Last updated

Nov 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Miriam Center for Hope and Healing LLP

  • Clinical Social Worker
  • Olean, NY
  • NPI 1487299624
  NPD Authorized official

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1386070621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SOUTH CLINTON ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147609634",
            "telephone_number": "716-373-6735",
            "fax_number": "888-622-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTH CLINTON ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147609634",
            "telephone_number": "716-373-6735",
            "fax_number": "888-622-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLONKA",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Phillips
• Chelsey Pierce
• Hailee Jean Pilon, LMSW
• Allison Claire Piontkowski
• Walter M. Plassche Jr., M.D.
• Eddie M Polanowski, RN
• Rachel Ponka
• Stephanie Poole
• Bonita Porcello, CNP
• Beth Ann Porter

• Clinical Social Worker in Olean, NY
• Providers in Olean, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.

Verify at the official NPI Registry.