Evelynn Palmer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7565 Issued in CT

Practice address

85 Beleden Gardens Dr
Bristol, CT 06010-5834

Phone

(860) 845-8129

NPI assigned

Nov 19, 2020

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1770186967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SHADY LN",
            "city": "MORRIS",
            "state": "CT",
            "postal_code": "067631210",
            "telephone_number": "860-459-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BELEDEN GARDENS DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105834",
            "telephone_number": "860-845-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "EVELYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Ouellette Jr., M.D.
• Oxycare LLC
• Donna/Peter Page
• Amy M Pagini
• Katelyn Palladino, PA-C
• Larissa Nkouami Pamen, MD
• Ranjit S Pandit, MD
• Tatiana Panea, APRN
• Daniel J Papapietro, PSYD
• Jamie D Pappas, M.D.

• Clinical Social Worker in Bristol, CT
• Providers in Bristol, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.