Individual provider Active NPI

Acacia Palmer, LCSW

  • Clinical Social Worker
  • Bayside, NY
National Provider Identifier
1104355593
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100613 Issued in NY
Practice address
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone
(718) 504-9256
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 095971-1 NY
Clinical Social Worker 1041C0700X 100613 NY Primary

Addresses

Primary practice location

3635 Bell Blvd Ste 203
Bayside, NY 11361-2097

Mailing address

167 Madison Avenue
Suite 205 #515
New York, NY 10016
Phone (917) 617-2013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250814003772 NY Practitioner - Clinical Social Worker 1658870977 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians
Comprehensive Counseling LCSW PLLCGroup PAC ID 3870754427, 46 clinicians

Practice addresses (Care Compare)

1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633

2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736

3635 Bell Blvd
Suite 203
Bayside, NY 11361-2097
Phone (718) 830-0246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095971-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates,PC CurrentSince Oct 13, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Oct 13, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Oct 13, 2025 Accepting new patients
Comprehensive Counseling LCSW, PLLC Mental Health CurrentSince Aug 4, 2025 Accepting new patients
Shakespeare Operating LLC CurrentSince Oct 13, 2025 Accepting new patients
Acacia LMSW Therapy, PLLC Social Worker Current Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 13, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 22, 2025 Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531

167 Madison Ave
Rm 205
New York, NY 10016
Phone (929) 325-1025

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

57 W 57th St
Frnt 3
New York, NY 10019

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 10

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1104355593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MADISON AVENUE",
            "address_2": "SUITE 205 #515",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "917-617-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 BELL BLVD STE 203",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612097",
            "telephone_number": "718-504-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ACACIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095971-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.