Jack A Plate, LCSW,LMFT - Clinical Social Worker in Racine, WI

Jack A Plate, LCSW,LMFT is a Social Worker - Clinical based in Racine, Wisconsin. Jack A Plate is licensed to practice in Wisconsin (license number 698-123) and his current practice location is 4810 Northwestern Ave, Racine, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 637-9984.

NPI number for Jack A Plate is 1053453340 and his current mailing address is 4810 Northwestern Ave, Racine, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053453340.

Contact Information

Jack A Plate, LCSW,LMFT
4810 Northwestern Ave,
Racine, WI 53406-1504
(262) 637-9984
(262) 637-9995



Healthcare Provider's Profile

Full NameJack A Plate
GenderMale
SpecialitySocial Worker - Clinical
Location4810 Northwestern Ave, Racine, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053453340
  • Provider Enumeration Date: 02/13/2007
  • Last Update Date: 09/23/2010

Medical Identifiers

Medical identifiers for Jack A Plate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053453340NPI-NPPES
39534500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 698-123 (Wisconsin)Primary
106H00000XMarriage & Family Therapist 209-124 (Wisconsin)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack A Plate is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack A Plate, LCSW,LMFT
4810 Northwestern Ave,
Racine, WI 53406-1504

Ph: (262) 637-9984
Jack A Plate, LCSW,LMFT
4810 Northwestern Ave,
Racine, WI 53406-1504

Ph: (262) 637-9984

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› Verified 6 days ago


Social Worker in Racine, WI

Mary Monica Weber, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Mound Ave, Ste 301, Racine, WI 53404
Phone: 262-633-3591    Fax: 262-633-2619
Mrs. Kathleen Fenno Mcnulty, L.C.S.W.
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Mound Ave, Suite 301, Racine, WI 53404
Phone: 262-633-3591    Fax: 262-633-2619
John Tate Ii, APSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 420 7th St, Racine, WI 53403
Phone: 262-634-2391    
Sara Aranda, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 937 Hayes Ave, Racine, WI 53405
Phone: 262-744-9110    
Stephanie B Hanson, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1244 Wisconsin Ave, Suite 303, Racine, WI 53403
Phone: 262-635-5520    Fax: 262-635-5530
Carole Ann Della Pia, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6233 Durand Ave, Suite F, Racine, WI 53406
Phone: 262-554-8165    Fax: 262-554-8165

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