Provider Demographics
NPI:1780147918
Name:PALUMBO, FERDINANDO C (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:FERDINANDO
Middle Name:C
Last Name:PALUMBO
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LAVERNE CT
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-1526
Mailing Address - Country:US
Mailing Address - Phone:973-229-4606
Mailing Address - Fax:
Practice Address - Street 1:2 LAVERNE CT
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-1526
Practice Address - Country:US
Practice Address - Phone:973-229-4606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-14
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058340001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical