Provider Demographics
NPI:1790154797
Name:PALMER BARNES, CHEVALENE SHERAI (LCSW)
Entity Type:Individual
Prefix:
First Name:CHEVALENE
Middle Name:SHERAI
Last Name:PALMER BARNES
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 1:1121 NW 111TH AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-7826
Mailing Address - Country:US
Mailing Address - Phone:954-826-5979
Mailing Address - Fax:
Practice Address - Street 1:1121 NW 111TH AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-7826
Practice Address - Country:US
Practice Address - Phone:954-826-5979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-20
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW91621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical