Active NPI
Paulette Plummer, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1457559858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005644
- Practice address
- 1801 North Tryon St.
Suite 339
Charlotte, NC 28206-2773 - Phone
- (704) 405-5993
- Fax
- (704) 405-5994
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005644 | NC | Primary |
Addresses
Primary practice location
1801 North Tryon St.
Suite 339
Charlotte, NC 28206-2773
Mailing address
6706 Sequoia Hills Dr
Harrisburg, NC 27075
Phone (704) 707-3896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106717 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005644 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desired Solutions & More Inc | Current | 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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1023328648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1457559858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6706 SEQUOIA HILLS DR",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "27075",
"telephone_number": "704-707-3896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 NORTH TRYON ST.",
"address_2": "SUITE 339",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062773",
"telephone_number": "704-405-5993",
"fax_number": "704-405-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "PAULETTE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106717",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.