Healthcare Provider Details

I. General information

NPI: 1801246970
Provider Name (Legal Business Name): BECKETT PALMER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA PALMER LCSW

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 GLENN PL # 4146
LEXINGTON KY
40505-3518
US

IV. Provider business mailing address

PO BOX 10970
ST PETERSBURG FL
33733-0970
US

V. Phone/Fax

Practice location:
  • Phone: 727-454-5389
  • Fax:
Mailing address:
  • Phone: 727-327-7656
  • Fax: 727-322-2110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: