| Jeffrey D Plankeel Msw Lcsw Llc | |
|
2950 Professional Pl Ste 201 Colorado Springs CO 80904-8106 | |
| (443) 255-3748 | |
| (719) 453-0224 |
| Full Name | Jeffrey D Plankeel Msw Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2950 Professional Pl Ste 201, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jeffrey Donald Plankeel (OWNER / PROVIDER) |
| Authorized Official Contact | 4432553748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Plankeel Msw Lcsw Llc 2950 Professional Pl Ste 201 Colorado Springs CO 80904-8106 Ph: (443) 255-3748 | Jeffrey D Plankeel Msw Lcsw Llc 2950 Professional Pl Ste 201 Colorado Springs CO 80904-8106 Ph: (443) 255-3748 |
| NPI Number | 1033536149 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 11/26/2018 |
| Medicare PECOS PAC ID | 5193942043 |
|---|---|
| Medicare Enrollment ID | O20140816000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033536149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 930 (Colorado) | Primary |
| Provider Name | Jeffrey D Plankeel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285818971 PECOS PAC ID: 7315028149 Enrollment ID: I20080117000317 |
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