Individual provider Active NPI

Erin L Pallard, LCSW

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1225817588
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22451 Issued in FL
Practice address
4550 Pga Blvd Ste 215
Palm Beach Gardens, FL 33418-3988
Phone
(561) 223-1638
NPI assigned
Sep 26, 2023
Last updated
Jan 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWI16518 FL
Clinical Social Worker 1041C0700X SW22451 FL Primary

Addresses

Primary practice location

4550 Pga Blvd Ste 215
Palm Beach Gardens, FL 33418-3988

Mailing address

3023 30TH CT
Jupiter, FL 33477-9368
Phone (407) 488-7035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW22451FLMDClinical Social Worker
SWI16518FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1225817588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 30TH CT",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334779368",
            "telephone_number": "407-488-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 PGA BLVD STE 215",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183988",
            "telephone_number": "561-223-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLARD",
        "first_name": "ERIN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SWI16518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.