Individual provider Active NPI

Tamara Miller-Ploetz, L.I.S.W.

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1881768620
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008273 Issued in OH
Practice address
2421 Auburn Ave
Cincinnati, OH 45219-2701
Phone
(513) 731-3346
Fax
(513) 458-3582
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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 I0008273 OH Primary

Addresses

Primary practice location

2421 Auburn Ave
Cincinnati, OH 45219-2701

Mailing address

4790 Red Bank Expressway
Suite 128
Cincinnati, OH 45227-2701
Phone (513) 731-3346

Other identifiers 1

IdentifierTypeStateIssuer
11644993OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051117000146 OH Practitioner - Clinical Social Worker 6305865536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4790 Red Bank Expressway
Suite 128
Cincinnati, OH 45227-2701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0008273OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Family Care, Inc. Clinical CurrentSince Jul 25, 2018 Accepting new patients

Locations

4790 Red Bank Rd
Ste 128
Cincinnati, OH 45227
Phone (513) 252-0533

2421 Auburn Ave
Cincinnati, OH 45219
Phone 5137313346 ext. 116

7675 Wellness Way
West Chester, OH 45069
Phone (513) 475-7400

Organizations & group practices 2

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1881768620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 RED BANK EXPRESSWAY",
            "address_2": "SUITE 128",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272701",
            "telephone_number": "513-731-3346",
            "fax_number": "513-672-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192701",
            "telephone_number": "513-731-3346",
            "fax_number": "513-458-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-PLOETZ",
        "first_name": "TAMARA",
        "name_prefix": "Mrs.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "11644993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.