Active NPI
Deborah Palmer, LICSW
- Clinical Social Worker
- Hadley, MA
National Provider Identifier
1184644270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111857
- Practice address
- 245 Russell St Ste 12
Hadley, MA 01035-9563 - Phone
- (413) 584-0902
- Fax
- (413) 584-0903
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111857 | MA | Primary |
Addresses
Primary practice location
245 Russell St Ste 12
Hadley, MA 01035-9563
Mailing address
PO Box 240, 245 Russell Street, Suite 12
Hadley, MA 01035-0240
Phone (413) 584-0902
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1854101 | Other | MA | MASSHEALTH QMB |
| P 08730 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111857 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Human Solutions LLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21521/brand/1/csg/1/fhir/r4
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.
-
- Child & Adolescent Psychiatry Physician
- Northampton, MA
- NPI 1033361845
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184644270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240, 245 RUSSELL STREET, SUITE 12",
"city": "HADLEY",
"state": "MA",
"postal_code": "010350240",
"telephone_number": "413-584-0902",
"fax_number": "413-584-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 RUSSELL ST STE 12",
"city": "HADLEY",
"state": "MA",
"postal_code": "010359563",
"telephone_number": "413-584-0902",
"fax_number": "413-584-0903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "DEBORAH",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH QMB",
"identifier": "1854101",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P 08730",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.