Portia Paulette Palmore, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086759 Issued in MI

Practice address

124 Pearl St Ste 308
Ypsilanti, MI 48197-2663

Phone

(734) 485-8527

Fax

(734) 864-0328

NPI assigned

Dec 4, 2013

Last updated

Dec 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1619308459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 308",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972663",
            "telephone_number": "734-485-8527",
            "fax_number": "734-864-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 308",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972663",
            "telephone_number": "734-485-8527",
            "fax_number": "734-864-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMORE",
        "first_name": "PORTIA",
        "middle_name": "PAULETTE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabnam Pakneshan, M.D
• Raghavendra Subhash Paknikar, MD
• Ethan Paliwoda
• Rachel Ann Palmer, PA
• Shelby Palmer
• Kristen Michele Palomba, MD
• Lindsay Faith Pals, LLMSW
• Daniel Pan, MD
• Romy Pandey, MD
• Sushma N Pandrangi, M.D.

• Clinical Social Worker in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.