Provider Demographics
NPI:1447398037
Name:PALMER, LUCILE SAXON (LCSW)
Entity Type:Individual
Prefix:
First Name:LUCILE
Middle Name:SAXON
Last Name:PALMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 DELTA BLVD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-4853
Mailing Address - Country:US
Mailing Address - Phone:850-385-9000
Mailing Address - Fax:850-386-4583
Practice Address - Street 1:2014 DELTA BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-4853
Practice Address - Country:US
Practice Address - Phone:850-385-9000
Practice Address - Fax:850-386-4583
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 00001656101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health