Individual provider Active NPI

Michael Anthony Plattenburg, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1497097380
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901805 Issued in OH
Practice address
110 Boggs LN Ste 270
Cincinnati, OH 45246-3147
Phone
(513) 508-1574
NPI assigned
Mar 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 I.1901805 OH Primary

Addresses

Primary practice location

110 Boggs LN Ste 270
Cincinnati, OH 45246-3147

Mailing address

110 Boggs LN Ste 270
Cincinnati, OH 45246-3147
Phone (513) 508-1574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240229001989 OH Practitioner - Clinical Social Worker 6204271299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1901805OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preveiling Touch LLC Clinical CurrentSince Sep 4, 2023 Accepting new patients

Locations

8401 Claude Thomas Rd
Ste 29
Franklin, OH 45005
Phone (330) 931-5640

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1497097380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BOGGS LN STE 270",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463147",
            "telephone_number": "513-508-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOGGS LN STE 270",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463147",
            "telephone_number": "513-508-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATTENBURG",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.