MS. JOSEPHINE PLOETZ LCSW
NPI 1326181686
Social Worker - Clinical in Evanston, IL
NPI Status: Active since February 15, 2007
Contact Information
1740 RIDGE AVE
SUITE 101B
EVANSTON, IL
ZIP 60201
Phone: (847) 866-8591
- Individual
- Female
- Social Worker
- Clinical
- Opted-Out Medicare
About JOSEPHINE PLOETZ
This page provides the complete NPI Profile along with additional information for Josephine Ploetz, a provider established in Evanston, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1326181686 assigned on February 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 149000436 (IL). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1326181686
- Provider Name
- MS. JOSEPHINE PLOETZ LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1740 RIDGE AVE SUITE 101B EVANSTON, IL 60201
- Location Phone
- (847) 866-8591
- Mailing Address
- 1740 RIDGE AVE SUITE 101B EVANSTON, IL 60201
- Mailing Phone
- (847) 866-8591
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-15-2007
- Last Update Date
- 12-01-2008
- Code Navigator
A clinical social worker like Josephine Ploetz is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Josephine Ploetz opted out of Medicare effective on 03-01-2024 until 03-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 149000436
- License State
- IL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205821 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-01-2024
Opt-Out End Date: 03-01-2026
Eligible to Order and Refer? No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychotherapy, 1 hour
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
This service was performed 343 times for 15 patientsReviews for MS. JOSEPHINE PLOETZ LCSW
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1326181686, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326181686, enumerated as an "individual" on February 15, 2007.
The provider is located at 1740 RIDGE AVE SUITE 101B EVANSTON, IL 60201 and the phone number is (847) 866-8591.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
