Organization Active NPI

Therapy With Rhonda Palmer LLC

  • Clinical Social Worker
  • Fredericktown, MO
National Provider Identifier
1891577581
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPY WITH RHONDA PALMER LLC
Practice address
1712 Madison 208
Fredericktown, MO 63645-7900
Phone
(573) 561-0992
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Rhonda Ellen Palmer, MSW, LCSWNPI 1932796752
Title
LCSW/Therapist
Phone
(573) 561-0992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1712 Madison 208
Fredericktown, MO 63645-7900

Mailing address

1712 Madison 208
Fredericktown, MO 63645-7900
Phone (573) 561-0992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231101003302 MO Part B Supplier - Clinic/Group Practice 3274989884 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericktown, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1891577581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 MADISON 208",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636457900",
            "telephone_number": "573-561-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 MADISON 208",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636457900",
            "telephone_number": "573-561-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WITH RHONDA PALMER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "LCSW/THERAPIST",
        "authorized_official_telephone_number": "573-561-0992",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericktown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.