Provider Demographics
NPI:1346213873
Name:PALMER, BARBARA C (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:C
Last Name:PALMER
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:4400 W 69TH ST
Practice Address - Street 2:STE 1500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-5700
Practice Address - Fax:605-322-5704
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0040494OtherBLUE CROSS
SD9205350OtherDAKOTACARE
MN040121002OtherPRIMEWEST
SD10691OtherMIDLANDS CHOICE
SD800013313OtherRR MEDICARE
MN141M1PAOtherCC SYSTEMS/ BLUE PLUS
MN142417OtherUCARE
SD25081OtherSANFORD HEALTH PLAN
SD412991028126OtherPREFERRED ONE
SDHP24864OtherHEALTHPARTNERS
SD370624200OtherDEPT OF LABOR
MN902217100Medicaid
SD57108C009OtherWPS TRICARE
SD67988OtherARAZ/ AMERICA'S PPO
IA1983361Medicaid
ND12200Medicaid
SD6570163Medicaid
SDS40494Medicare PIN
SD0040494OtherBLUE CROSS