| Adrienne Palmer, Lcsw, Llc | |
|
352 Clifton Avenue Clifton NJ 07011-2619 | |
| (973) 365-2125 | |
| Not Available |
| Full Name | Adrienne Palmer, Lcsw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 352 Clifton Avenue, Clifton, New Jersey |
| Authorized Official Name and Position | Adrienne Palmer (BEHAVIORAL HEALTH PROVIDER/OWNER) |
| Authorized Official Contact | 9733652125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrienne Palmer, Lcsw, Llc 352 Clifton Avenue Clifton NJ 07011-2619 Ph: (973) 365-2125 | Adrienne Palmer, Lcsw, Llc 352 Clifton Avenue Clifton NJ 07011-2619 Ph: (973) 365-2125 |
| NPI Number | 1962270454 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 2062862279 |
|---|---|
| Medicare Enrollment ID | O20240102000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962270454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Adrienne R Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942348552 PECOS PAC ID: 1951456482 Enrollment ID: I20090903000712 |
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