Hailey Palmer, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.104407 Issued in IL

Practice address

120 Main St Ste 200
Park Ridge, IL 60068-4044

Phone

(847) 720-4773

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Authentic Living, Inc.

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1972142198
  NPD

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1629605357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684044",
            "telephone_number": "479-659-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST STE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684044",
            "telephone_number": "847-720-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "HAILEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia E Pajak, PAC
• Joanna Daria Pakula, M.D.
• Lashly Palakkattu
• Eric Jason Pales, M.D.
• Gina Marie Palm, APN
• Halina Palonis, PT
• Saagar Vidya Pamulapati, MD, MA IN BIOETHICS
• Gabriella Noelle Pandza, MD
• Alyssa Panganiban, DO
• Megan Panici, LCSW

• Social Worker in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.