Organization Active NPI

Leslie J. Palumberi, LCSW, PA

  • Social Worker
  • Naples, FL
National Provider Identifier
1124273123
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
LESLIE J. PALUMBERI, LCSW, PA
Practice address
1415 Panther Lane
Suite 203
Naples, FL 34109-7874
Phone
(239) 777-4843
Fax
(239) 591-6601
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Lesliej Palumberi, LCSW
Title
Psychotherapist
Phone
(239) 591-6636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1415 Panther Lane
Suite 203
Naples, FL 34109-7874

Mailing address

1415 Panther Lane
Suite 203
Naples, FL 34109-7874
Phone (239) 777-4843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150618000162 FL Part B Supplier - Clinic/Group Practice 9234440280 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1415 Panther Ln
Ste 203
Naples, FL 34109
Phone (239) 777-4843

1415 Panther Ln
Ste 217
Naples, FL 34109
Phone (239) 591-6684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1124273123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LANE",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-777-4843",
            "fax_number": "239-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LANE",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-777-4843",
            "fax_number": "239-591-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE J. PALUMBERI, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "PALUMBERI",
        "authorized_official_first_name": "LESLIEJ",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "239-591-6636",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.