Individual provider Active NPI

Lisa Rose Palmer, LCSW

  • Clinical Social Worker
  • Somerset, KY
National Provider Identifier
1285668657
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1238 Issued in KY
Practice address
110 Richie LN
Suite C
Somerset, KY 42503-6128
Phone
(606) 875-1130
Fax
(606) 678-0603
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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 1238 KY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0859 KY

Addresses

Primary practice location

110 Richie LN
Suite C
Somerset, KY 42503-6128

Mailing address

PO Box 744
Somerset, KY 42502-0744
Phone (606) 875-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050719000357 KY Practitioner - Clinical Social Worker 1557398856 Practice locations: Somerset, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

141 Horseshoe Dr
Somerset, KY 42501-5969
Phone (859) 737-0904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0859KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan J. Miller, PLLC Clinical PastSince Jul 1, 2010 Accepting new patients
Lisa R Palmer PLLC PastSince May 23, 2010 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. PastSince Oct 1, 2006 Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient Past Accepting new patients

Organizations & group practices 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1285668657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425020744",
            "telephone_number": "606-875-1130",
            "fax_number": "606-678-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RICHIE LN",
            "address_2": "SUITE C",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036128",
            "telephone_number": "606-875-1130",
            "fax_number": "606-678-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LISA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1238",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "0859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.