Active NPI
Marie Palumbo-Hayes, LICSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1114198140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1017371
- Practice address
- 55 Hope St
Providence, RI 02906-2001 - Phone
- (401) 952-6697
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1017371 | MA | Primary |
| School Social Worker | 1041S0200X | 1018371 | MA |
Addresses
Primary practice location
55 Hope St
Providence, RI 02906-2001
Mailing address
55 Hope St
Providence, RI 02906-2001
Phone (401) 952-9967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1309161 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018371 | MA | MD | School Social Worker |
| 1017371 | MA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1114198140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HOPE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062001",
"telephone_number": "401-952-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HOPE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062001",
"telephone_number": "401-952-6697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALUMBO-HAYES",
"first_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1017371",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "1018371",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1309161",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.