Healthcare Provider Details

I. General information

NPI: 1982837316
Provider Name (Legal Business Name): JAMIE PLOCINSKI L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 E 3RD ST
WILLIAMSPORT PA
17701-5409
US

IV. Provider business mailing address

1341 E 3RD ST
WILLIAMSPORT PA
17701-5409
US

V. Phone/Fax

Practice location:
  • Phone: 570-601-4325
  • Fax: 570-866-3141
Mailing address:
  • Phone: 570-601-4325
  • Fax: 570-866-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017995
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: