Active NPI
Lisa Rose Palmer, LCSW
- Clinical Social Worker
- Somerset, KY
National Provider Identifier
1285668657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1238
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0859 | KY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan J. Miller, PLLC | Clinical | Past | Accepting new patients |
| Lisa R Palmer PLLC | Past | Accepting new patients | |
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Past | 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.
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1184940520
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1336172642
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1992831713
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.