Individual provider Active NPI

Gregory K Palmer, MSW LCSW BCD

  • Social Worker
  • Allentown, PA
National Provider Identifier
1154437663
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW001017L
Practice address
401 N 17TH Street
Suite 304
Allentown, PA 18104-5014
Phone
(610) 820-3900
Fax
(610) 820-3835
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW001017L Primary

Addresses

Primary practice location

401 N 17TH Street
Suite 304
Allentown, PA 18104-5014

Mailing address

401 N 17TH Street
Suite 304
Allentown, PA 18104-5014
Phone (610) 820-3900

Other identifiers 4

IdentifierTypeStateIssuer
134196000OtherMAGELLAN
P2655009OtherOXFORD
01978002OtherPACAPITAL BLUE CROSS
621326OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110119001215 PA Practitioner - Clinical Social Worker 5395924674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allentown Associates in PsychiatryGroup PAC ID 0244226421, 5 clinicians

Practice addresses (Care Compare)

401 N 17TH St
Suite 304
Allentown, PA 18104-5051
Phone (610) 820-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allentown Associates in Psychiatry and Psychology CurrentSince Dec 19, 1990 Accepting new patients
Lehigh Valley Psychiatric Assoc Inc PastSince Dec 19, 1990 Accepting new patients

Locations

401 N 17th St
Ste 304
Allentown, PA 18104
Phone (610) 820-3900

1245 S Cedar Crest Blvd
Ste 303
Allentown, PA 18103
Phone (610) 435-4151

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1154437663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N 17TH STREET",
            "address_2": "SUITE 304",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045014",
            "telephone_number": "610-820-3900",
            "fax_number": "610-820-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 17TH STREET",
            "address_2": "SUITE 304",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045014",
            "telephone_number": "610-820-3900",
            "fax_number": "610-820-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "GREGORY",
        "middle_name": "K",
        "credential": "MSW LCSW BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "CW001017L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "134196000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2655009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01978002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "621326",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.