Individual provider Active NPI

Rebecca O Palomar

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1811726946
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109732 Issued in TX
Practice address
3674 S Washington St
Grand Forks, ND 58201-8155
Phone
(701) 205-3000
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109732 TX
Clinical Social Worker 1041C0700X 109732 TX Primary

Addresses

Primary practice location

3674 S Washington St
Grand Forks, ND 58201-8155

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN, ND, AK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250107001606 TX Practitioner - Clinical Social Worker 9234667007 Reassigns benefits to 3 organizations
I20250902003627 MN Practitioner - Clinical Social Worker 9234667007 Reassigns benefits to 1 organization
I20251029004106 ND Practitioner - Clinical Social Worker 9234667007 Reassigns benefits to 1 organization
I20260120003006 AK Practitioner - Clinical Social Worker 9234667007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peterson Medical Clinics LLCGroup PAC ID 9335412220, 91 clinicians

Practice addresses (Care Compare)

1015 S Lamar St
Amarillo, TX 79102-1318
Phone (701) 205-3000

205 E Benson Blvd
Suite 401
Anchorage, AK 99503-4019
Phone (701) 205-3000

25730 Willard Path
San Antonio, TX 78261-1113
Phone (701) 205-3000

3674 S Washington St
Grand Forks, ND 58201-5766
Phone (701) 205-3000

4016 Lynbrook LN
Arlington, TX 76015-4014
Phone (701) 205-3000

519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109732TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 14, 2025 Accepting new patients
Eastern Aleutian Tribes, Inc CurrentSince Oct 2, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jan 1, 2026 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jan 1, 2026 Accepting new patients
Peterson Medical Clinics, LLC CurrentSince Aug 21, 2025 Accepting new patients
Eastern Aleutian Tribes, Inc Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 14, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 14, 2025 Accepting new patients
Southwestern Dist Health Unit Past Accepting new patients
Lake Country Associates, Inc. PastSince Mar 15, 2010 Accepting new patients

Locations

3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440

205 E Benson Blvd
Ste 401
Anchorage, AK 99503

3380 C St
Ste 100
Anchorage, AK 99503
Phone (907) 277-1440

123 3rd Ave E
Ste 300
Alexandria, MN 56308

700 Cedar St
Ste 228
Alexandria, MN 56308
Phone (320) 762-3935

519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700

1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612

205 Roosevelt Ave W
Karlstad, MN 56732
Phone (218) 436-2251

515 Bridge St
Park Rapids, MN 56470
Phone (218) 252-0066

424 S 3rd St
Ste 1
Bismarck, ND 58504

528 21st St W
Dickinson, ND 58601
Phone (701) 483-0171

4501 15th Ave SW
Ste 105
Fargo, ND 58103

4700 S Washington St
Ste G
Grand Forks, ND 58201
Phone (701) 732-2506

3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538

1408 20th Ave SW
Ste 5
Minot, ND 58701

Organizations & group practices 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1811726946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5210",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582065210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018155",
            "telephone_number": "701-205-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMAR",
        "first_name": "REBECCA",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "109732",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.