| Doctor Name: | MR. JONATHAN DAVID PLATSON |
| NPI Number: | 1669422150 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | 7086-123 |
| Business Practice Address: | 230 Deronda St Amery, WI - 540011412 |
| Business Phone Number: | 7152688000 |
| Business Fax Number: | 7152680061 |
| Mailing Address: | 265 Griffin St E, AMERY |
| State: | WI |
| Postal Code: | 540011439 |
| Phone Number: | 7152688000 |
| Fax Number: | 7152680311 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 04/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7086-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |