Organization Active NPI

Palmer Portfolio LLC-S Priority Practice Series LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1609617455
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PALMER PORTFOLIO LLC-S PRIORITY PRACTICE SERIES LLC
Practice address
1449 S Michigan Ave # 1054
Chicago, IL 60605-2810
Phone
(312) 292-9818
NPI assigned
Jun 5, 2024
Organization subpart
Yes
Parent organization
PALMER PORTFOLIO LLC-SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Matthew Luke Stone Palmer, LCSWNPI 1962256925
Title
Psychotherapist
Phone
(312) 292-9818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1449 S Michigan Ave # 1054
Chicago, IL 60605-2810

Mailing address

1449 S Michigan Ave # 1054
Chicago, IL 60605-2810
Phone (312) 292-9818

Other names 1

  • Priority Practice Doing business as

National Provider Directory

National Provider Directory

Locations

2815 E 3rd St
#1044
Bloomington, IN 47401

2815 E 3rd St
Unit 1064
Bloomington, IN 47401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1609617455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 S MICHIGAN AVE # 1054",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052810",
            "telephone_number": "312-292-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 S MICHIGAN AVE # 1054",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052810",
            "telephone_number": "312-292-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER PORTFOLIO LLC-S PRIORITY PRACTICE SERIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMER PORTFOLIO LLC-S",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LUKE STONE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-292-9818",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.