Individual provider Active NPI

Paula Ploof, LCSW

  • Clinical Social Worker
  • Mariposa, CA
National Provider Identifier
1740538818
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103343 Issued in CA
Practice address
5109 Jessie St Unit 2184
Mariposa, CA 95338-2596
Phone
(860) 249-4969
NPI assigned
Aug 21, 2012
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 103343 CA Primary

Addresses

Primary practice location

5109 Jessie St Unit 2184
Mariposa, CA 95338-2596

Mailing address

PO Box 2184
Mariposa, CA 95338-2184
Phone (860) 249-4969

Other practice location 1

5189 Hospital Rd
Mariposa, CA 95338-9524
Phone (860) 249-4969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240311000224 CA Practitioner - Clinical Social Worker 4587000740 Reassigns benefits to 2 organizations
Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5186 Hospital Rd
Mariposa, CA 95338-9524
Phone (209) 966-3631

5189 Hospital Rd
Mariposa, CA 95338-9524
Phone (209) 966-3631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103343CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John C Fremont Healthcare District CurrentSince Apr 20, 2024 Accepting new patients
John C Fremont Healthcare District Current Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Nov 1, 2025 Accepting new patients
Lifeworks of Sonoma County PastSince Aug 1, 2019 Accepting new patients
Lifeworks of Sonoma County PastSince Aug 1, 2019 Accepting new patients

Locations

5186 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-0850

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/fremont-d0489e1b

Organizations & group practices 5

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1740538818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2184",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953382184",
            "telephone_number": "860-249-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 JESSIE ST UNIT 2184",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953382596",
            "telephone_number": "860-249-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5189 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Mariposa",
            "state": "CA",
            "postal_code": "953389524",
            "country_code": "US",
            "telephone_number": "860-249-4969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOOF",
        "first_name": "PAULA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mariposa, CA

Sources for this page

Verify at the official NPI Registry.