Provider Demographics
NPI:1780665679
Name:PALMER, CAROLYN LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:LEE
Last Name:PALMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1401 BROAD RUN RD
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-1328
Mailing Address - Country:US
Mailing Address - Phone:610-274-8985
Mailing Address - Fax:302-655-1149
Practice Address - Street 1:405 FOULK RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3809
Practice Address - Country:US
Practice Address - Phone:302-655-1100
Practice Address - Fax:302-655-1149
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1041C0700X
PA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical