MS. JEANNIE MARIE PLUGIS LCSW
NPI 1962585299
Social Worker - Clinical in Waltham, MA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
169 ELM STREET, WALTHAM, MA 02453(781) 894-8440(781) 894-1202 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jeannie Marie Plugis Lcsw NPPES

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

MS. JEANNIE MARIE PLUGIS LCSW (NPI 1962585299) is an individual clinical provider in Waltham, Massachusetts, licensed in Massachusetts (213411) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1962585299
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JEANNIE MARIE PLUGISCredential: LCSW
Location Address169 ELM STREETWaltham, MA 02453-5356
Mailing Address169 Elm StreetWaltham, MA 02453-5356 · (781) 894-8440 · Fax (781) 894-1202
Fax(781) 894-1202
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 13, 2008
NPI 1962585299 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 MA · 213411
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.

169 ELM STREET, Waltham, MA 02453

Other Identifiers 8

Medicaid1303287MA
Other100474SMA · Nhp
OtherNP01332Boston Med
Medicare ID-Type UnspecifiedY10074MA
Other1303287MA · Mbhp
Other703136MA · Tufts
Other99618201Network Health
OtherM18633MA · Bcbs

Accepted 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

Ms. Jeannie Marie Plugis 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 ID4284711599
PECOS Enrollment IDI20080411000030
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
155 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02453 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 4

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

Counselor (Mental Health)
169 ELM STREET
WALTHAM, MA 02453
Social Worker (Clinical)
169 ELM STREET
WALTHAM, MA 02453
Social Worker (Clinical)
169 ELM STREET
WALTHAM, MA 02453
Social Worker (Clinical)
169 ELM STREET
WALTHAM, MA 02453

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 Jeannie Plugis's NPI number?

The NPI number for Jeannie Plugis is 1962585299. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jeannie Plugis located?

Jeannie Plugis practices at 169 Elm Street, Waltham, MA 02453. The listed phone number is (781) 894-8440.

What is Jeannie Plugis's specialty?

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

Is Jeannie Plugis enrolled in Medicare?

Yes. Jeannie Plugis 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 Jeannie Plugis accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Jeannie Plugis 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 Jeannie Plugis was last updated on March 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.