Individual provider Active NPI

David Alan Plank, MSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1659308062
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002926 Issued in NC
Practice address
608 N Greene St
Greensboro, NC 27401-2024
Phone
(336) 833-3253
Fax
(336) 274-4299
NPI assigned
Jun 28, 2006
Last updated
Jul 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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 C002926 NC Primary

Addresses

Primary practice location

608 N Greene St
Greensboro, NC 27401-2024

Mailing address

PO Box 41201
Greensboro, NC 27404-1201
Phone (336) 833-3253

Other identifiers 2

IdentifierTypeStateIssuer
1243AOtherNCBLUECROSS BLUESHIELD
73978OtherNCMEDCOST

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C002926NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Plank, L.C.S.W., P.a. Clinical Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1659308062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274041201",
            "telephone_number": "336-833-3253",
            "fax_number": "336-274-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N GREENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012024",
            "telephone_number": "336-833-3253",
            "fax_number": "336-274-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANK",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1243A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "73978",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.