Deryl W Palmer, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06859 Issued in NM

Practice address

2000 E Lohman Ave Ste C
Las Cruces, NM 88001-3100

Phone

(575) 523-2288

Fax

(575) 523-2299

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1740317015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6824",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880066824",
            "telephone_number": "575-523-2288",
            "fax_number": "575-523-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LOHMAN AVE STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013100",
            "telephone_number": "575-523-2288",
            "fax_number": "575-523-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DERYL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M05423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26782341",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Anne Palma-Szalay, M.A. CCC-SLP
• Danny Palma, M.A. CCC-SLP
• Dean Palma, OTR
• Elaine Palma, M.A. CCC-SLP
• Amanda Palmer
• Yvonne Marie Palmer
• Briana Michelle Palomares, LMSW
• Ezequiel Palomares, ATC
• Sumith Panayanthatta, MD
• Pando Rodriguez & Associates LLC

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.