Jaymi Daneill Palmer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

40522 Issued in TX

Practice address

2700 Tibbets Dr
Suite 502
Bedford, TX 76022-5928

Phone

(817) 571-2899

Fax

(817) 571-9879

NPI assigned

Oct 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• H. E. B. Behavioral Medicine, P. C.

  • Clinical Psychologist
  • Shelton, WA
  • NPI 1114966074
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1457540148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 GRAPEVINE MILLS PKWY APT 238",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511904",
            "telephone_number": "817-715-3875",
            "fax_number": "972-906-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR",
            "address_2": "SUITE 502",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225928",
            "telephone_number": "817-571-2899",
            "fax_number": "817-571-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JAYMI",
        "middle_name": "DANEILL",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "40522",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osolife Home Health Services LNC
• Florence Ouseph, MD
• Nicole Estes Pace
• Pedro Daniel Paez, MD
• Katherine Elizabeth Page
• Panacea Diagnostic Solutions
• Mandvi Pandey, M.D
• Paraiso Attendant Services, LLC
• Paramount Laboratories, LLC
• Srinivas N Paranandi, MD

• Clinical Social Worker in Bedford, TX
• Providers in Bedford, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.