Individual provider Active NPI

Scott Edward Palazzolo, LMSW

  • Social Worker
  • East Lansing, MI
National Provider Identifier
1902463607
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801110623 Issued in MI
Practice address
300 Bailey St Ste 2
East Lansing, MI 48823-4688
Phone
(734) 550-1052
NPI assigned
May 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 6801110623 MI Primary

Addresses

Primary practice location

300 Bailey St Ste 2
East Lansing, MI 48823-4688

Mailing address

16790 Cedarbrook Dr
Haslett, MI 48840-8863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801110623MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Authority Clinton Eaton Ingham Counties CurrentSince Nov 2, 2022 Accepting new patients
Palazzolo Therapy Services LLC Social Worker CurrentSince Nov 28, 2022 Accepting new patients

Locations

228 S Cochran Ave
Charlotte, MI 48813
Phone (517) 543-5100

909 Abbot Rd
Ste B
East Lansing, MI 48823
Phone (269) 430-3122

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

2535 E Mount Hope Ave
Lansing, MI 48910
Phone (517) 372-2535

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1902463607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16790 CEDARBROOK DR",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAILEY ST STE 2",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234688",
            "telephone_number": "734-550-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZOLO",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801110623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.