Provider Demographics
NPI:1508912460
Name:PALMER MCMAHON, STEPHANIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:PALMER MCMAHON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:H
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:54 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW EGYPT
Mailing Address - State:NJ
Mailing Address - Zip Code:08533-1413
Mailing Address - Country:US
Mailing Address - Phone:609-758-1237
Mailing Address - Fax:609-758-1237
Practice Address - Street 1:54 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW EGYPT
Practice Address - State:NJ
Practice Address - Zip Code:08533-1413
Practice Address - Country:US
Practice Address - Phone:609-758-1237
Practice Address - Fax:609-758-1237
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05174800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health