Individual provider Active NPI

Kimberly Palmer, LCSW

  • Social Worker
  • Little Rock, AR
National Provider Identifier
1144370396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1263-C Issued in AR
Practice address
100 S University Ave Ste 200
Little Rock, AR 72205-5215
Phone
(501) 664-9050
Fax
(501) 296-9323
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

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
Social Worker 104100000X 1263-C AR Primary

Addresses

Primary practice location

100 S University Ave Ste 200
Little Rock, AR 72205-5215

Mailing address

100 S University Ave Ste 200
Little Rock, AR 72205-5215
Phone (501) 664-9050

Other names 1

  • Kym Palmer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20090507000200 AR Practitioner - Clinical Social Worker 3779631452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Renewal CenterGroup PAC ID 0345593109, 4 clinicians

Practice addresses (Care Compare)

12410 Cantrell Rd
Suite 202
Little Rock, AR 72223-0038
Phone (501) 414-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Renewal Center CurrentSince Dec 23, 2023 Accepting new patients

Locations

12410 Cantrell Rd
Ste 202
Little Rock, AR 72223
Phone (501) 414-0111

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144370396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S UNIVERSITY AVE STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055215",
            "telephone_number": "501-664-9050",
            "fax_number": "501-296-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S UNIVERSITY AVE STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055215",
            "telephone_number": "501-664-9050",
            "fax_number": "501-296-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KIMBERLY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "1263-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYM",
            "last_name": "PALMER",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.