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NPI · 1053453340 · NPPES-sourced

Jack Plate LCSW, LMFT

ActiveClinical Social Worker
NPI Number
1053453340
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
(262) 637-9984
License WI · 698-123
Last Updated
About 15 years ago (Sep 2010)
Enumerated 2007-02-13
Primary practice addressWI · 53406-1504
4810 Northwestern AveRacine, WI 53406-1504
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About this NPIWhat this record shows.

NPI 1053453340 is registered to Jack Plate LCSW, LMFT, a Clinical Social Worker practising at 4810 Northwestern Ave in Racine, Wisconsin. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jack Plate LCSW, LMFT has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2007-02-13
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jack Plate LCSW, LMFT accepts. To confirm in-network status with your specific health plan, contact Jack Plate LCSW, LMFT directly at (262) 637-9984.

Frequently asked

Yes. NPI 1053453340 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (262) 637-9984.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jack Plate LCSW, LMFT is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated2010-09
Enumerated2007-02-13
StatusActive
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