Provider Demographics
NPI:1518040971
Name:PALMER, SANCHIA SAMANTHA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SANCHIA
Middle Name:SAMANTHA
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 1:3600 FIELDSTON RD
Mailing Address - Street 2:3D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2004
Mailing Address - Country:US
Mailing Address - Phone:917-586-7649
Mailing Address - Fax:
Practice Address - Street 1:3600 FIELDSTON RD
Practice Address - Street 2:3D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2004
Practice Address - Country:US
Practice Address - Phone:917-586-7649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0703381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY356699OtherMHN
NYP2664791OtherOXFORD