Palmetto & Vine Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PALMETTO & VINE WELLNESS LLC

Practice address

5805 Furlong Way
Liberty TWP, OH 45011-7316

Phone

(513) 202-3687

NPI assigned

May 27, 2026

Organization subpart

No

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

Authorized official

Name

Bethany Putnam, LISWNPI 1427934595

Title

Owner

Phone

(513) 202-3687

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethany Putnam, LISW

  • Clinical Social Worker
  • Blue Ash, OH
  • NPI 1427934595
  NPD Authorized official

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1790616837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 FURLONG WAY",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450117316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 FURLONG WAY",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450117316",
            "telephone_number": "513-202-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO & VINE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-202-3687",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Chioma Nwaobasi, RN
• Obscare, LLC
• Philip Ofori-Yentumi, NP
• Amonetsone Tracey Okorodudu
• Andrielle Donyae Owen, APRN
• Diana Pearson
• Sara Peele, SLP-CCC
• Kimberly Person Smith
• Personal Home Care
• Karen Sue Petty, STNA

• Clinical Social Worker in Liberty TWP, OH
• Providers in Liberty TWP, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.