Jerry L Plummer, DSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS578 Issued in CA

Practice address

2055 Anderson Rd
Davis, CA 95616-0672

Phone

(530) 758-1580

Fax

(530) 758-9869

NPI assigned

May 27, 2005

Last updated

Sep 6, 2016By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stewart E Teal Eva Peters Hunting & Jerry L Plummer PTR

  dba Omnibus

  • Group Psychotherapy Psychologist
  • Davis, CA
  • NPI 1295738755
  NPD (past) Authorized official

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1467455923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 ANDERSON RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161210",
            "telephone_number": "530-758-1580",
            "fax_number": "530-758-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 ANDERSON RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160672",
            "telephone_number": "530-758-1580",
            "fax_number": "530-758-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "JERRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Piscitello-Fay
• Sophia Isabelle Plachecreech
• Christina Janny Platenkamp, APCC
• Isabelle Faith Platina
• Catelyn Pleake
• Bonita Poe
• Tyler Poland, D.C.
• Helen Joy Policar, PH.D.
• Maia Lee Polis
• Bradley H. Pollock, PHD, MPH

• Clinical Social Worker in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.