Provider Demographics
NPI:1700177698
Name:PALMER-PERRY, JOCELYN I (MSW)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:I
Last Name:PALMER-PERRY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 S 1ST ST
Mailing Address - Street 2:STE 308
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3897
Mailing Address - Country:US
Mailing Address - Phone:360-299-1300
Mailing Address - Fax:360-299-1369
Practice Address - Street 1:1211 24TH ST
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2562
Practice Address - Country:US
Practice Address - Phone:360-299-1300
Practice Address - Fax:360-299-1369
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000072191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical