Individual provider Active NPI

Raymond Plotnick, LCSW

  • Mental Health Counselor
  • Camden, ME
National Provider Identifier
1528116381
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC7131 Issued in ME
Practice address
27 Washington St
Suite 203
Camden, ME 04843-1739
Phone
(207) 236-4300
Fax
(207) 236-4340
NPI assigned
Jan 8, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC7131 ME Primary

Addresses

Primary practice location

27 Washington St
Suite 203
Camden, ME 04843-1739

Mailing address

27 Washington St
Suite 203
Camden, ME 04843-1739
Phone (207) 236-4300

Other identifiers 1

IdentifierTypeStateIssuer
038775OtherMEANTHEM STAR NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1528116381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WASHINGTON ST",
            "address_2": "SUITE 203",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431739",
            "telephone_number": "207-236-4300",
            "fax_number": "207-236-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WASHINGTON ST",
            "address_2": "SUITE 203",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431739",
            "telephone_number": "207-236-4300",
            "fax_number": "207-236-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTNICK",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC7131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM STAR NUMBER",
            "identifier": "038775",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, ME

Sources for this page

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

Verify at the official NPI Registry.