Active NPI
Jill Ann Palmer, LCSW
- Social Worker
- Smyrna, GA
National Provider Identifier
1679160790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC50079778
- Practice address
- 4480 S Cobb Dr SE Ste 503
Smyrna, GA 30080-6990 - Phone
- (404) 946-1800
- NPI assigned
- Dec 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LC50079778 | DC | Primary |
Addresses
Primary practice location
4480 S Cobb Dr SE Ste 503
Smyrna, GA 30080-6990
Mailing address
11515 College View Dr
Silver Spring, MD 20902-2532
Phone (240) 413-0388
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50079778 | DC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Open MRI and Imaging at Principio
- Radiology Clinic/Center
- Perryville, MD
- NPI 1922246206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1679160790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11515 COLLEGE VIEW DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209022532",
"telephone_number": "240-413-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 S COBB DR SE STE 503",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806990",
"telephone_number": "404-946-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JILL",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LC50079778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.