Provider Demographics
NPI:1932796752
Name:PALMER, RHONDA ELLEN (MSW,LCSW)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:ELLEN
Last Name:PALMER
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 MADISON 208
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:63645-7900
Mailing Address - Country:US
Mailing Address - Phone:573-561-6070
Mailing Address - Fax:
Practice Address - Street 1:1712 MADISON 208
Practice Address - Street 2:
Practice Address - City:FREDERICKTOWN
Practice Address - State:MO
Practice Address - Zip Code:63645-7900
Practice Address - Country:US
Practice Address - Phone:573-561-6070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170401861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical