Nicholas A. Palumbo, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0000547 Issued in OH

Practice address

6133 Rockside Rd
Suite 207
Independence, OH 44131-2223

Phone

(216) 520-5969

Fax

(216) 520-5098

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Affiliates in Behavioral Health, LLCGroup PAC ID 0547257107, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affiliates in Behavioral Health, LLC

  • Psychologist
  • Independence, OH
  • NPI 1093820979
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033224977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD",
            "address_2": "SUITE 207",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312223",
            "telephone_number": "216-520-5969",
            "fax_number": "216-520-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD",
            "address_2": "SUITE 207",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312223",
            "telephone_number": "216-520-5969",
            "fax_number": "216-520-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "NICHOLAS",
        "middle_name": "A.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0000547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P.a.L.S. for Healing
• Pai Medical Inc,
• Anil Raghav Pai, MD
• Catherine A Palcisco, LISW-S
• Claire Palmer, APRN
• Francis A Papay, MD
• Jordan Marie Passafiume, PT, DPT
• Paige Pasta
• Hemisha Patel, NURSE PRACTITIONER
• Neel Vipul Patel, PHARMD, RPH

• Clinical Social Worker in Independence, OH
• Providers in Independence, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.