Provider Demographics
NPI:1962176750
Name:PALMER, CHRISTI M (LICSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTI
Middle Name:M
Last Name:PALMER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-5559
Mailing Address - Country:US
Mailing Address - Phone:781-291-4332
Mailing Address - Fax:508-872-0773
Practice Address - Street 1:564 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-5559
Practice Address - Country:US
Practice Address - Phone:781-291-4332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1271021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical