Individual provider Active NPI

Jennifer Palacio, LCSW

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1962003301
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67165 Issued in TX
Practice address
1501 S Polk St
Amarillo, TX 79101-4228
Phone
(806) 349-5615
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 67165 TX Primary

Addresses

Primary practice location

1501 S Polk St
Amarillo, TX 79101-4228

Mailing address

PO Box 3250
Amarillo, TX 79116-3250
Phone (806) 349-5615

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20221024000438 TX Practitioner - Clinical Social Worker 0648646224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Texas Panhandle Mental Health Mental RetardationGroup PAC ID 0446200067, 8 clinicians

Practice addresses (Care Compare)

6600 Killgore Dr
Amarillo, TX 79106-3700
Phone (806) 358-1681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67165TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Panhandle Mental Health Mental Retardation Clinical CurrentSince Sep 1, 2022 Accepting new patients

Locations

1501 S Polk St
Amarillo, TX 79101
Phone (806) 337-1000

6600 Killgore Dr
Amarillo, TX 79106
Phone (806) 337-1000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1962003301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791163250",
            "telephone_number": "806-349-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S POLK ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014228",
            "telephone_number": "806-349-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.