JAMIE LYNN PLOURDE
NPI 1700552304
Social Worker in Saginaw, MI
NPI Status: Active since August 23, 2021
Contact Information
5051 MCCARTY RD
SAGINAW, MI
ZIP 48603
Phone: (800) 438-1772
Fax: (262) 345-5562
- Individual
- Female
- Social Worker
- Accepts Insurance
- PECOS Enrolled
About JAMIE PLOURDE
This page provides the complete NPI Profile along with additional information for Jamie Plourde, a provider established in Saginaw, Michigan with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1700552304 assigned on August 2021. The practitioner's primary taxonomy code is 104100000X with license number 6851108469 (MI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1700552304
- Provider Name
- JAMIE LYNN PLOURDE
- Other Name
- JAMIE LYNN FRAHM
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5051 MCCARTY RD SAGINAW, MI 48603
- Location Phone
- (800) 438-1772
- Location Fax
- (262) 345-5562
- Mailing Address
- W175N11120 STONEWOOD DR GERMANTOWN, WI 53022
- Mailing Phone
- (800) 438-1772
- Mailing Fax
- (262) 345-5562
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-23-2021
- Last Update Date
- 08-23-2021
- Code Navigator
A social worker like Jamie Plourde helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
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
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6851108469
- License State
- MI
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Essential (No Referrals) - HMO
- UHC Bronze Essential+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value (No Referrals) - HMO
- UHC Silver Value+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jamie Plourde is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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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 1700552304, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
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 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SAGINAW, MI 48603
SAGINAW, MI 48603
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700552304, enumerated as an "individual" on August 23, 2021.
The provider is located at 5051 MCCARTY RD SAGINAW, MI 48603 and the phone number is (800) 438-1772.
Social Worker with taxonomy code 104100000X.
The provider might be accepting Accepts: Oscar Insurance Company and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
