=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912830068
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MADISON R PLUMLEY LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2026
-----------------------------------------------------
Last Update Date | 06/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 422 CHARLESTON DR # B
-----------------------------------------------------
City | RIPLEY
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25271-1536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-543-5964
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24 WILSON ST
-----------------------------------------------------
City | RAVENSWOOD
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26164-1634
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-786-2694
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | AP00945629
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------