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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: November 01, 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, maintains a secondary practice location in Mariposa, 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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Secondary Practice Location 1

Location 15189 Hospital RdMariposa, CA 95338-9524 · Phone (860) 249-4969

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paula Ploof reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John C Fremont Healthcare District
Same address
Hospice Care, Community Based
5108 HIGHWAY 140, SUITE C
Mariposa, CA 95338
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1952524472 (209) 966-3800
Sud Specialty Group - Ca
111 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Paula Ploof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Ploof reassigns Medicare benefits to 2 organizations: John C Fremont Healthcare District (Mariposa, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paula Ploof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.