Beth Virginia Palumbo, LCSW, RPT-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004254 Issued in GA

Practice address

3440 Blue Springs Rd NW
Suite 304
Kennesaw, GA 30144-1030

Phone

(678) 542-7211

NPI assigned

May 29, 2012

Last updated

Jun 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Healing Solutions Wellness Center

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  • NPI 1215331608
  Authorized official Same address or phone

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1376803007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 BLUE SPRINGS RD NW",
            "address_2": "SUITE 304",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441030",
            "telephone_number": "678-542-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 BLUE SPRINGS RD NW",
            "address_2": "SUITE 304",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441030",
            "telephone_number": "678-542-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "BETH",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soulette Page
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• Amanda Paisley, PHARMD
• Brittany Palmer, M.ED., CCC-SLP
• Papini Counseling, LLC
• Jordan Kabase Papp, CRNA
• Aisha Paraham
• Millie N Parekh
• Park Robert Mitchell, M.D.

• Clinical Social Worker in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.