Provider Demographics
NPI:1376212100
Name:PALMER, MEGAN E (LMSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:PALMER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 BYRON CIR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7812
Mailing Address - Country:US
Mailing Address - Phone:240-479-1567
Mailing Address - Fax:
Practice Address - Street 1:59 AVENUE D
Practice Address - Street 2:BUILDING 59
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902-0001
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27711104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker