Kristen A Palmer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10108123 Issued in WI

Practice address

3536 52ND St
Kenosha, WI 53144-2662

Phone

(262) 842-0538

NPI assigned

Aug 25, 2020

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LK Anderson Consulting LLCGroup PAC ID 8325489438, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• LK Anderson Consulting LLC

  dba A Healing Place, Complete Counseling Care

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1215401468
  Medicare reassignment Care Compare group NPD
• Kenosha Human Development Services, Inc

  • Case Management Agency
  • Kenosha, WI
  • NPI 1942470661
  Medicare reassignment NPD
• Kenosha Human Development Services, Inc

  • Case Management Agency
  • Kenosha, WI
  • NPI 1104622620
  NPD
• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1811500358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 52ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442662",
            "telephone_number": "262-842-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 52ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442662",
            "telephone_number": "262-842-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131298-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10108123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "131298-121",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153342",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain Physicians of Wisconsin, SC
• Pain Physicians of Wisconsin, SC
• Caroline Palasz
• Jane Cary Pallin, M.D.
• John S Pallin, M.D.
• Damar Palomares, RN
• Tiffany Panasewicz, LPC
• Susan Marie Panger, LMFT LCSW
• Rachel Papp
• Gayle Ann Paquin, APNP, ANP-BC

• Clinical Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.