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NICOLE PLUMMER LCSW
NPI 1407462583
Social Worker - Clinical in Bentonville, AR

Active since September 23, 2020Opted out of Medicare · through Jul 1, 2028
2508 SE 20TH ST, BENTONVILLE, AR 72712(479) 845-2111 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2023, Feb 10, 2023, Sep 23, 2020 (3 updates tracked since 2020).

About Nicole Plummer Lcsw NPPES

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

NICOLE PLUMMER LCSW (NPI 1407462583) is an individual clinical provider in Bentonville, Arkansas and active in the NPI registry since September 2020. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1407462583
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE PLUMMERCredential: LCSW
Location Address2508 SE 20TH STBentonville, AR 72712-4008
Mailing Address2508 Se 20th StBentonville, AR 72712-4008 · (479) 845-2111
Phone(479) 845-2111
Sole ProprietorYes
Enumeration DateSeptember 23, 2020
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1407462583 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
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 ListedSocial WorkerTaxonomy 104100000X · License 10145M (AR)
2508 SE 20TH ST, Bentonville, AR 72712
Open in Google Maps ↗

Other Identifiers 1

Medicaid296795719AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicole Plummer Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

STEPHANIE LITZINGER LCSW
Social Worker (Clinical)
2508 SE 20TH ST
BENTONVILLE, AR 72712
Benton County (479) 750-2020
SHARON A ODOM LCSW
Social Worker (Clinical)
2508 SE 20TH ST
BENTONVILLE, AR 72712
Benton County (479) 273-9088
KAELYN BETZ
Counselor (Mental Health)
2508 SE 20TH ST
BENTONVILLE, AR 72712
Benton County (479) 273-9088
IVY M WELCH
Case Manager/Care Coordinator
2508 SE 20TH ST
BENTONVILLE, AR 72712
Benton County (479) 273-9088
JENNIFER GODARD LPC
Counselor (Professional)
2508 SE 20TH ST
BENTONVILLE, AR 72712
Benton County (479) 273-9088
HELENA GARCIA MHPP
Counselor (Mental Health)
2508 SE 20TH ST
BENTONVILLE, AR 72712
Benton County (479) 725-5224
SHAWNA PADDACK
Counselor (Mental Health)
2508 SE 20TH ST
BENTONVILLE, AR 72712
Benton County (479) 273-9088
EVELYN ANN WEIGEL LPE
Counselor (Mental Health)
2508 SE 20TH ST
BENTONVILLE, AR 72712
Benton County (479) 750-2020

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 Nicole Plummer's NPI number?

The NPI number for Nicole Plummer is 1407462583. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Nicole Plummer located?

Nicole Plummer practices at 2508 SE 20th St, Bentonville, AR 72712. The listed phone number is (479) 845-2111.

What is Nicole Plummer's specialty?

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

Is Nicole Plummer enrolled in Medicare?

No. Nicole Plummer has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Plummer was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.