Paladin Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW26516 Issued in ID

Legal business name

PALADIN SERVICES, LLC

Practice address

1042 W Mill Ave
# 205
Coeur D Alene, ID 83814-2489

Phone

(208) 659-3527

Fax

(208) 292-4544

NPI assigned

Jan 7, 2011

Organization subpart

No

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

Authorized official

Name

Jeff K Williams, LCSW

Title

Owner

Phone

(208) 659-3527

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1609170471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 W MILL AVE",
            "address_2": "# 205",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142489",
            "telephone_number": "208-659-3527",
            "fax_number": "208-292-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 W MILL AVE",
            "address_2": "# 205",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142489",
            "telephone_number": "208-659-3527",
            "fax_number": "208-292-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALADIN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-659-3527",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW26516",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "LCSW-26516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanna Padilla, CPNP-PC
• Tye Padilla, DMD
• Shadell Padmore
• Pain Management of North Idaho, PLLC
• Erin Anne Paisley
• Angela Marie Palmer, CADC
• John Ryan Palmer, LMSW
• Matthew David Palmer, NP
• Elise Lynn Palus
• Angela Pana, MD

• Clinical Social Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.