Individual provider Active NPI

Deirdre Plyer, MSW

  • Clinical Social Worker
  • Old Saybrook, CT
National Provider Identifier
1811083090
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01684 Issued in RI
Practice address
35 Edmund St
Suite a
Old Saybrook, CT 06475-2422
Phone
(860) 304-1442
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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 ISW01684 RI Primary

Addresses

Primary practice location

35 Edmund St
Suite a
Old Saybrook, CT 06475-2422

Mailing address

35 Edmund St
Old Saybrook, CT 06475-2422
Phone (860) 853-2220

Other identifiers 4

IdentifierTypeStateIssuer
6276508OtherRIUNITED HEALTH
0000029639OtherRIBLUE CROSS
0000412678OtherRIBLUE CHIP
DP56357MedicaidRI

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

State licenses

LicenseStateTypeSpecialty
ISW01684RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Alliance Past Accepting new patients
Estuary Counseling LLC Clinical Past Accepting new patients
Urologic Associates, PC Past Accepting new patients
Sound Community Services, Inc. PastSince Apr 25, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1811083090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EDMUND ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752422",
            "telephone_number": "860-853-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EDMUND ST",
            "address_2": "SUITE A",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752422",
            "telephone_number": "860-304-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYER",
        "first_name": "DEIRDRE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "6276508",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0000029639",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "0000412678",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DP56357",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.