Individual provider Active NPI

Mary-Elizabeth Palumbo, LCSW-C

  • Social Worker
  • Hagerstown, MD
National Provider Identifier
1730891060
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
25600 Issued in MD
Practice address
130 E Baltimore St
Hagerstown, MD 21740-6104
Phone
(301) 739-7748
Fax
(301) 739-4001
NPI assigned
Dec 19, 2022
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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 25600 MD Primary

Addresses

Primary practice location

130 E Baltimore St
Hagerstown, MD 21740-6104

Mailing address

130 E Baltimore St
Hagerstown, MD 21740-6104
Phone (301) 739-7748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250311000510 MD Practitioner - Clinical Social Worker 0840711511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25600MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wells House Inc CurrentSince Mar 6, 2025 Accepting new patients
Wells House Inc Past Accepting new patients

Locations

330 Frederick St
Hagerstown, MD 21740
Phone (240) 203-8864

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1730891060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E BALTIMORE ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406104",
            "telephone_number": "301-739-7748",
            "fax_number": "301-739-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E BALTIMORE ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406104",
            "telephone_number": "301-739-7748",
            "fax_number": "301-739-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "MARY-ELIZABETH",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "25600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.