Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack A Plate, LCSW, LMFT

Individual provider Clinical Social Worker · NPI 1053453340

Jack A Plate, LCSW, LMFT is a Clinical Social Worker in Racine, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

4810 Northwestern Ave
Racine, WI 53406-1504
Phone: (262) 637-9984
Fax: (262) 637-9995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 698-123 (WI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 209-124 (WI)

Record details

NPI number1053453340
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LMFT
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESSeptember 23, 2010

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