Individual provider Active NPI

Matthew Luke Stone Palmer, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1962256925
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149028558 Issued in IL
Practice address
1449 S Michigan Ave # 1054
Chicago, IL 60605-2810
Phone
(312) 292-9818
NPI assigned
Apr 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q5-0000182 DE
Clinical Social Worker 1041C0700X 133788 IA
Clinical Social Worker 1041C0700X 089.0135999TELE VT
Clinical Social Worker 1041C0700X 149028558 IL Primary
Clinical Social Worker 1041C0700X TLS969CP SC
Clinical Social Worker 1041C0700X 34011307A IN
Clinical Social Worker 1041C0700X 12030-123 WI
Clinical Social Worker 1041C0700X 4461974 ID
Clinical Social Worker 1041C0700X TPSW4390 FL

Addresses

Primary practice location

1449 S Michigan Ave # 1054
Chicago, IL 60605-2810

Mailing address

1228 Quigley PL
South Bend, IN 46617-4405
Phone (812) 419-2637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251217000755 FL Practitioner - Clinical Social Worker 7416481940 Reassigns benefits to 1 organization

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
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q5-0000182DEMDClinical Social Worker
TPSW4390FLMDClinical Social Worker
133788IAMDClinical Social Worker
4461974IDMDClinical Social Worker
149028558ILMDClinical Social Worker
TLS969CPSCMDClinical Social Worker
089.0135999TELEVTMDClinical Social Worker
12030-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer Portfolio LLC-S Priority Practice Series LLC Clinical CurrentSince Jun 1, 2024 Accepting new patients

Locations

1449 S Michigan Ave
Chicago, IL 60605
Phone (312) 292-9818

2815 E 3rd St
Unit 1064
Bloomington, IN 47401

2815 E 3rd St
#1044
Bloomington, IN 47401

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1962256925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 QUIGLEY PL",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466174405",
            "telephone_number": "812-419-2637",
            "fax_number": "812-694-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 S MICHIGAN AVE # 1054",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052810",
            "telephone_number": "312-292-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MATTHEW",
        "middle_name": "LUKE STONE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-16",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q5-0000182",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "133788",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135999TELE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028558",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "TLS969CP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011307A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12030-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "4461974",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW4390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.