Active NPI
Grant Michael Palmer, ACSW
- Clinical Social Worker
- Encino, CA
National Provider Identifier
1841063997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118494
- Practice address
- 16250 Ventura Blvd Ste 465
Encino, CA 91436-4620 - Phone
- (818) 906-0406
- NPI assigned
- Oct 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118494 | CA | Primary |
Addresses
Primary practice location
16250 Ventura Blvd Ste 465
Encino, CA 91436-4620
Mailing address
2356 Glendon Ave
Los Angeles, CA 90064-2204
Phone (424) 210-9381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118494 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wilshire Counseling Center, a Psychological Corporation | Current | Accepting new patients | |
| Midwest Post-Acute Care of California PC | Clinical | Past | Accepting new patients |
Locations
16250 Ventura Blvd
Ste 465
Encino, CA 91436
Phone (818) 419-5648
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Encino, CA
- NPI 1306990577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1841063997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2356 GLENDON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642204",
"telephone_number": "424-210-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16250 VENTURA BLVD STE 465",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364620",
"telephone_number": "818-906-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "GRANT",
"middle_name": "MICHAEL",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-31",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "118494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.