Individual provider Active NPI

Jessica Jean Palmer

  • Clinical Social Worker
  • University City, MO
National Provider Identifier
1275780983
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120010 Issued in MA
Practice address
836 Barkley SQ
University City, MO 63130-2806
Phone
(413) 374-3228
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 120010 MA Primary

Addresses

Primary practice location

836 Barkley SQ
University City, MO 63130-2806

Mailing address

836 Barkley SQ
University City, MO 63130-2806
Phone (413) 374-3228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MO, DE, ME, IN, AR, NJ, AL, OH10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20170505000681 MA Practitioner - Clinical Social Worker 9133406895 Reassigns benefits to 1 organization
Practice locations: Lynn, MA
I20250124000763 MO Practitioner - Clinical Social Worker 9133406895 Reassigns benefits to 1 organization
Practice locations: Saint Louis, MO
I20250303002939 MA Practitioner - Mental Health Counselor 9133406895 Reassigns benefits to 1 organization
I20250422000142 DE Practitioner - Clinical Social Worker 9133406895 Reassigns benefits to 1 organization
I20250422003249 ME Practitioner - Clinical Social Worker 9133406895 Reassigns benefits to 1 organization
I20250425001725 IN Practitioner - Clinical Social Worker 9133406895 Reassigns benefits to 1 organization
I20250603002343 AR Practitioner - Clinical Social Worker 9133406895 Reassigns benefits to 1 organization
Practice locations: Little Rock, AR
I20250603002933 NJ Practitioner - Clinical Social Worker 9133406895 Reassigns benefits to 1 organization
Practice locations: Hoboken, NJ
I20250610002728 AL Practitioner - Clinical Social Worker 9133406895 Reassigns benefits to 1 organization
Practice locations: Birmingham, AL
I20250711002166 OH Practitioner - Clinical Social Worker 9133406895 Practice locations: Cleveland, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Medical PCGroup PAC ID 3476082660, 13 clinicians

Practice addresses (Care Compare)

1400 Hooper Ave
Suite 2
Toms River, NJ 08753-2981
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120010MAMDClinical Social Worker
5278NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Dec 28, 2024 Accepting new patients
Wagner Medical PC Clinical CurrentSince Jun 13, 2025 Accepting new patients

Locations

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

1400 Hooper Ave
Ste 2
Toms River, NJ 08753
Phone (732) 339-3398

Organizations & group practices 3

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1275780983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 BARKLEY SQ",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631302806",
            "telephone_number": "413-374-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 BARKLEY SQ",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631302806",
            "telephone_number": "413-374-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University City, MO

Sources for this page

Verify at the official NPI Registry.