Provider Demographics
NPI:1609142215
Name:PALMER, DAWN MARIE (LCSWP)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIE
Last Name:PALMER
Suffix:
Gender:F
Credentials:LCSWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 PANCAKE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2317
Mailing Address - Country:US
Mailing Address - Phone:845-691-1052
Mailing Address - Fax:845-691-1038
Practice Address - Street 1:320 PANCAKE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2317
Practice Address - Country:US
Practice Address - Phone:845-691-1052
Practice Address - Fax:845-691-1038
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP060226-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical