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PAULA PLOOF LCSW
NPI 1740538818
Social Worker - Clinical in Mariposa, CA

Active since August 21, 2012PECOS EnrolledAccepts Medicare Assignment
5109 JESSIE ST UNIT 2184, MARIPOSA, CA 95338(860) 249-4969 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2018, Aug 18, 2017 (2 updates tracked since 2017).

About Paula Ploof Lcsw NPPES

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

PAULA PLOOF LCSW (NPI 1740538818) is an individual clinical provider in Mariposa, California, licensed in California (103343) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740538818
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePAULA PLOOFCredential: LCSW
Location Address5109 JESSIE ST UNIT 2184Mariposa, CA 95338-2596
Mailing AddressPo Box 2184Mariposa, CA 95338-2184 · (860) 249-4969
Phone(860) 249-4969
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 21, 2012
Last NPPES UpdateMay 28, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1740538818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 103343
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.
5109 JESSIE ST UNIT 2184, Mariposa, CA 95338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paula Ploof Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587000740
PECOS Enrollment IDI20240311000224
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Paula Ploof's NPI number?

The NPI number for Paula Ploof is 1740538818. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Paula Ploof located?

Paula Ploof practices at 5109 Jessie St Unit 2184, Mariposa, CA 95338. The listed phone number is (860) 249-4969.

What is Paula Ploof's specialty?

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

Is Paula Ploof enrolled in Medicare?

Yes. Paula Ploof is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paula Ploof accept?

Health plans from Providence Health Plan list Paula Ploof 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 Paula Ploof was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.