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MARCI PLAUGHER LISW, LCDCIII
NPI 1770945933
Social Worker - Clinical in Lima, OH

Active since March 25, 2016PECOS Enrolled

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 29, 2021, Mar 25, 2016 (2 updates tracked since 2016).

About Marci Plaugher Lisw, Lcdciii NPPES

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

MARCI PLAUGHER LISW, LCDCIII (NPI 1770945933) is an individual clinical provider in Lima, Ohio, licensed in Ohio (I.2103214) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770945933
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARCI PLAUGHERCredential: LISW, LCDCIII
Location Address530 S MAIN STLima, OH 45804-1240
Mailing Address530 S Main StLima, OH 45804-1240 · (419) 222-1168
Phone(419) 222-1168
Sole ProprietorNo
Enumeration DateMarch 25, 2016
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1770945933 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
License✔ Licensed in OH · I.2103214
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License S0026281 (OH)
530 S MAIN ST, Lima, OH 45804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marci Plaugher Lisw, Lcdciii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Marci Plaugher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coleman Professional Services, Inc.
143 mi
Community/Behavioral Health
400 TUSCARAWAS ST W, SUITE 200
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
NPI 1134296213 (330) 438-2400

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 45804 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

EMILY ASHTON KECKLER
Social Worker
530 S MAIN ST
LIMA, OH 45804
Allen County (419) 222-1168
KRISTEN DIANE GRAVITT
Peer Specialist
530 S MAIN ST
LIMA, OH 45804
Allen County (419) 425-5050
RACHEL STEWART
Occupational Therapist (Mental Health)
530 S MAIN ST
LIMA, OH 45804
Allen County (567) 371-4430
JAMES DOWNING PCC
Counselor (Mental Health)
530 S MAIN ST
LIMA, OH 45804
Allen County (419) 222-1168
CAMERON LANE BAUMGARTH
Case Manager/Care Coordinator
530 S MAIN ST
LIMA, OH 45804
Allen County (567) 371-4430
LAUREN KLEES
Behavior Analyst
530 S MAIN ST
LIMA, OH 45804
Allen County (567) 371-4430
ALEXIS RUSSELL
Case Manager/Care Coordinator
530 S MAIN ST
LIMA, OH 45804
Allen County (419) 222-1168
SKYLER BEERS
Counselor (Mental Health)
530 S MAIN ST
LIMA, OH 45804
Allen County (419) 422-3711

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 Marci Plaugher's NPI number?

The NPI number for Marci Plaugher is 1770945933. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Marci Plaugher located?

Marci Plaugher practices at 530 S Main St, Lima, OH 45804. The listed phone number is (419) 222-1168.

What is Marci Plaugher's specialty?

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

Is Marci Plaugher enrolled in Medicare?

Yes. Marci Plaugher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marci Plaugher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marci Plaugher reassigns Medicare benefits to Coleman Professional Services, Inc. (Canton, OH). The 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 Marci Plaugher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marci Plaugher accept?

Health plans from MedMutual list Marci Plaugher 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 Marci Plaugher was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.