MEDICARE: PALMER W JOHNSON MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1003327123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PALMER W JOHNSON MSW, LCSW

Provider Business Mailing Address
First Line	:	PO BOX 9100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80932-0100
Country	:	US
Telephone Number	:	719-635-9100
Fax Number	:	719-442-1500

Provider Business Practice Location Address
First Line	:	2220 E BIJOU ST STE 160
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-8001
Country	:	US
Telephone Number	:	719-635-9100
Fax Number	:	719-442-1500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2017
Last Update Date	:	11/12/2025

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