Individual provider Active NPI

Doritha B Palmer, LCSW

  • Clinical Social Worker
  • Hopewell, NJ
National Provider Identifier
1720318686
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00362700 Issued in NJ
Practice address
83 Princeton Ave
C/O Erp&M
Hopewell, NJ 08525-2020
Phone
(609) 466-3566
Fax
(609) 466-7472
NPI assigned
Dec 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00362700 NJ Primary

Addresses

Primary practice location

83 Princeton Ave
C/O Erp&M
Hopewell, NJ 08525-2020

Mailing address

83 Princeton Ave
C/O Erp&M
Hopewell, NJ 08525-2020
Phone (609) 466-3566

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

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1720318686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 PRINCETON AVE",
            "address_2": "C/O ERP&M",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "085252020",
            "telephone_number": "609-466-3566",
            "fax_number": "609-466-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PRINCETON AVE",
            "address_2": "C/O ERP&M",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "085252020",
            "telephone_number": "609-466-3566",
            "fax_number": "609-466-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DORITHA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00362700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.