Individual provider Active NPI

Adrienne R. Palmer, L.C.S.W.

  • Clinical Social Worker
  • Clifton, NJ
National Provider Identifier
1942348552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01441300 Issued in NJ
Practice address
352 Clifton Ave
Clifton, NJ 07011-2619
Phone
(973) 365-2125
Fax
(973) 365-6152
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC01441300 NJ Primary

Addresses

Primary practice location

352 Clifton Ave
Clifton, NJ 07011-2619

Mailing address

PO Box 4011
South Hackensack, NJ 07606-4011
Phone (201) 450-7741

Other identifiers 1

IdentifierTypeStateIssuer
7078519OtherNJAETNA PROVIDER ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090903000712 NJ Practitioner - Clinical Social Worker 1951456482 Reassigns benefits to 1 organization
Practice locations: Clifton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

352 Clifton Ave
Clifton, NJ 07011-2619
Phone (973) 365-2125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adrienne Palmer, LCSW, LLC CurrentSince Sep 24, 2023 Accepting new patients

Locations

352 Clifton Ave
Clifton, NJ 07011
Phone (973) 365-2125

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942348552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4011",
            "city": "SOUTH HACKENSACK",
            "state": "NJ",
            "postal_code": "076064011",
            "telephone_number": "201-450-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112619",
            "telephone_number": "973-365-2125",
            "fax_number": "973-365-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ADRIENNE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01441300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID NUMBER",
            "identifier": "7078519",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.