Shelly Plummer, BA, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S0029872 Issued in OH

Practice address

701 Jefferson Ave
Suite 101
Toledo, OH 43604-6955

Phone

(419) 242-9955

Fax

(419) 242-8855

NPI assigned

Dec 9, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Tasc of Northwest Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1548538143
  NPD (past)
• Tasc of Northwest Ohio

  • Case Management Agency
  • Toledo, OH
  • NPI 1922171677
  NPD (past)

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1891239893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON AVE",
            "address_2": "SUITE 101",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436046955",
            "telephone_number": "419-242-9955",
            "fax_number": "419-242-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON AVE",
            "address_2": "SUITE 101",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436046955",
            "telephone_number": "419-242-9955",
            "fax_number": "419-242-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "SHELLY",
        "credential": "BA, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0029872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922171677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidra Pless
• Michael C Plewa, MD
• Janis Plezia-Dollman
• Alyssa Pluff
• Lauren Plumley, L.S.W.
• John Edward Pluto, MTCT
• PMR Care Coordinators of Oh LLC
• Mary Joice Pocopio
• Podiatric Associates of Northwest Ohio, LLC
• Podiatric Associates of Northwest Ohio, LLC

• Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.