Shelby Rose Plichota, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801097907 Issued in MI

Practice address

11652 W Grand River Ave
Lowell, MI 49331-8465

Phone

(616) 897-5373

Fax

(616) 897-5954

NPI assigned

Jun 5, 2015

Last updated

Jul 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1629458542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11652 W GRAND RIVER AVE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318465",
            "telephone_number": "616-897-5373",
            "fax_number": "616-897-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11652 W GRAND RIVER AVE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318465",
            "telephone_number": "616-897-5373",
            "fax_number": "616-897-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLICHOTA",
        "first_name": "SHELBY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana M Painter, DPT
• Amanda Partlo, MT-BC
• Marissa Peak, MT-BC
• Stephanie B. Peel, LLP
• Pleasant Living, Inc. (Fountain View of Lowell - Laboratory)
• Kelsey Postema, IBCLC
• Anthony Steven Previti, LMSW, LCSW
• Karrie Leigh Quintino, MA, LLPC
• Jennifer C Quiroz, MS, LLPC
• James Edward Reagan, DDS

• Clinical Social Worker in Lowell, MI
• Providers in Lowell, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.