Melissa Palmer, MSW
Individual provider Active NPI Clinical Social Worker · Voluntown, CT
NPI 1003645490 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1003645490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 013631 (CT)
- Practice address
- 11 Mohunganuck TRL
Voluntown, CT 06384-1202 - Phone
- (860) 412-4361
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013631 | CT | MD | Clinical Social Worker |
| ISW01277 | RI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01277 | RI | |
| Clinical Social Worker | 1041C0700X | 013631 | CT | Yes |
Addresses
Primary practice location
11 Mohunganuck TRL
Voluntown, CT 06384-1202
Mailing address
11 Mohunganuck TRL
Voluntown, CT 06384-1202
Phone (860) 412-4361
Other providers in Voluntown, CT
- Judith P. Allik
- Colleen Maclean
- Shipyard Speech LLC
- The Voluntown Volunteer Fire Co Inc 1
- Lynn Turcotte-Schuh
- Voluntown Board of Education
All providers in Voluntown, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.