Ethan Palmquist, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

110 S 19TH St
Saint Charles, IL 60174-1509

Phone

(561) 568-3948

NPI assigned

Jul 28, 2022

Sex

Male

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

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1629704952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 19TH ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741509",
            "telephone_number": "561-568-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 19TH ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741509",
            "telephone_number": "561-568-3948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27W350 High Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901262",
            "country_code": "US",
            "telephone_number": "630-933-7360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMQUIST",
        "first_name": "ETHAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Pacione
• Christine Mary Pacocha, CRNA
• Michelle Paetow, APN
• Pain, Vein & Vanity Inc.
• Carol Palackdharry, MD, MS, FACP
• Julie A Panek, PT
• Bimaljit Kaur Pangli, MD
• Jimena Pani, RBT
• Wende Gay Pannell, LCPC, CADC, LPC
• Lisa Elizabeth Panzarella, MHS, SLP

• Clinical Social Worker in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.