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JACK A PLATE LCSW,LMFT
NPI 1053453340
Social Worker - Clinical in Racine, WI

Active since February 13, 2007
4810 NORTHWESTERN AVE, RACINE, WI 53406(262) 637-9984(262) 637-9995 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack A Plate Lcsw,lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK A PLATE LCSW,LMFT (NPI 1053453340) is an individual clinical provider in Racine, Wisconsin, licensed in Wisconsin (698-123) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1053453340
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK A PLATECredential: LCSW,LMFT
Location Address4810 NORTHWESTERN AVERacine, WI 53406-1504
Mailing Address4810 Northwestern AveRacine, WI 53406-1504 · (262) 637-9984 · Fax (262) 637-9995
Phone(262) 637-9984
Fax(262) 637-9995
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateSeptember 23, 2010
✔ NPI 1053453340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 698-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 209-124 (WI)
4810 NORTHWESTERN AVE, Racine, WI 53406
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Other Identifiers 2

Medicare ID-Type Unspecified0841480003WI
Medicaid39534500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOM A DEFRANCESCO LCSW, CADC
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Racine County (262) 637-9984
SUSAN E MOORE SCHNEIDER MSW, LCSW
Social Worker (Clinical)
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 637-9984
MR. RICKY A PERSON SR. CSAC. ICS
Counselor (Addiction (Substance Use Disorder))
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 583-2714
MARJORIE J RICH MSSW, LCSW
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Racine County (262) 637-9984
KARI JANUSHESKE LPC
Counselor (Professional)
4810 NORTHWESTERN AVE
MT PLEASANT, WI 53406
Racine County (262) 637-9984
LAURA FRAZIER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 583-2714
LAKESIDE FAMILY THERAPY SERVICES LTD
Clinic/Center (Mental Health (Including Community Mental Health Center))
4810 NORTHWESTERN AVE
RACINE, WI 53406
Racine County (262) 637-9984
MS. KARLA J BIDSTRUP LCSW
Social Worker (Clinical)
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 637-9984

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Plate's NPI number?

The NPI number for Jack Plate is 1053453340. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Jack Plate located?

Jack Plate practices at 4810 Northwestern Ave, Racine, WI 53406. The listed phone number is (262) 637-9984.

What is Jack Plate's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Jack Plate accept?

Health plans from CareSource (Common Ground Healthcare) list Jack Plate as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Plate was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.