Mary Lou Plantz, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009804 Issued in VA

Practice address

12007 Sunrise Valley Dr Ste 300
Reston, VA 20191-3446

Phone

(804) 207-6737

NPI assigned

Jan 18, 2006

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

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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.

• Advantagecare Physicians PC

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment Care Compare group NPD
• Advantagecare Physicians PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113
  NPD
• Sterling Behavioral Health Services

  • Psychiatry Physician
  • Ashburn, VA
  • NPI 1669560470
  NPD (past)
• Krishna M Mohan M.D.P.C.

  • Surgery Physician
  • New York, NY
  • NPI 1215255245
  NPD (past)
• North Broadway Internal Medicine PC

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1699930743
  NPD (past)
• The Mental Health Association of Westchester County - Social Care Network

  • Case Manager/Care Coordinator
  • Tarrytown, NY
  • NPI 1760320659
  NPD (past)
• The Mental Health Association of Westchester County, Inc.

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1942306873

  Clinical

  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1740260694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913446",
            "telephone_number": "840-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913446",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Fifth Avenue",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364702",
            "country_code": "US",
            "telephone_number": "212-582-7117",
            "fax_number": "212-484-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 West 125th Street, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274426",
            "country_code": "US",
            "telephone_number": "212-491-2400",
            "fax_number": "212-491-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112054924",
            "country_code": "US",
            "telephone_number": "718-826-5900",
            "fax_number": "718-826-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANTZ",
        "first_name": "MARY",
        "middle_name": "LOU",
        "name_prefix": "Miss",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan M Pierce
• Frederick Pieri, CSA
• Cynthia Pilon, LCSW
• Pinnar Surgical Associates, LTD
• Ashley M Pipino, M.S., L.P.C.
• Plastic Surgery Associates of Northern Virginia, LTD
• Alan J Plotner, M.D.
• Robert Stephen Podolsky, MD
• Byron D. Poindexter, M.D.
• Surekha Pokharel

• Clinical Social Worker in Reston, VA
• Providers in Reston, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.