Active NPI
Connie Palmer, LSW
- Social Worker
- Bridgewater, NJ
National Provider Identifier
1841418662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL04618500
- Practice address
- 540 US Highway 22
Bridgewater, NJ 08807-2405 - Phone
- (908) 722-1881
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 8, 2007
- 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 | 44SL04618500 | NJ | Primary |
Addresses
Primary practice location
540 US Highway 22
Bridgewater, NJ 08807-2405
Mailing address
319 Maple St
Attn Avazquez
Perth Amboy, NJ 08861-4101
Phone (732) 324-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256145 | Other | NJ | MHN # |
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 |
|---|---|---|---|
| 44SL04618500 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841418662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 MAPLE ST",
"address_2": "ATTN AVAZQUEZ",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088614101",
"telephone_number": "732-324-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 US HIGHWAY 22",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072405",
"telephone_number": "908-722-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CONNIE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL04618500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN #",
"identifier": "256145",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.