Individual provider Active NPI

Michelle M. Pliske, MSW LCSW RPT

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1396097713
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5487 Issued in OR
Practice address
4950 NE Belknap CT
Suite 205
Hillsboro, OR 97124-5113
Phone
(503) 560-5822
Fax
(888) 503-2864
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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 L5487 OR Primary

Addresses

Primary practice location

4950 NE Belknap CT
Suite 205
Hillsboro, OR 97124-5113

Mailing address

4950 NE Belknap CT
Suite 205
Hillsboro, OR 97124-5113
Phone (503) 560-5822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L5487ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Firefly Institute PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1396097713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT",
            "address_2": "SUITE 205",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245113",
            "telephone_number": "503-560-5822",
            "fax_number": "888-503-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT",
            "address_2": "SUITE 205",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245113",
            "telephone_number": "503-560-5822",
            "fax_number": "888-503-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISKE",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "credential": "MSW LCSW RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.