Individual provider Active NPI

Judith Max Palmer, LCSW

  • Clinical Social Worker
  • Haverford, PA
National Provider Identifier
1871332924
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023972 Issued in PA
Practice address
551 W Lancaster Ave # 300306
Haverford, PA 19041-1419
Phone
(610) 477-8858
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 CW023972 PA Primary

Addresses

Primary practice location

551 W Lancaster Ave # 300306
Haverford, PA 19041-1419

Mailing address

644 S 54TH St
Philadelphia, PA 19143-2604
Phone (215) 908-1690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240618002905 PA Practitioner - Clinical Social Worker 2365985314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

551 W Lancaster Ave
Haverford, PA 19041-1419
Phone (610) 892-3800

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Jun 11, 2024 Accepting new patients

Locations

551 W Lancaster Ave
#300306
Haverford, PA 19041
Phone (610) 477-8858

551 W Lancaster Ave
Ste 300
Haverford, PA 19041
Phone (484) 441-6012

551 W Lancaster Ave
Ste 306
Haverford, PA 19041
Phone (484) 639-2402

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

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, 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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1871332924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 S 54TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432604",
            "telephone_number": "215-908-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE # 300306",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "610-477-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JUDITH",
        "middle_name": "MAX",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.