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NPI Code Detail

MEDICARE: EMILY KIRSTEN PALM LMSW

MEDICARE: EMILY KIRSTEN PALM LMSW
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
1104100000XSocial Worker2026009374MO

General Provider Information

NPI Number : 1538001185
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY KIRSTEN PALM LMSW
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 844-853-8937
Fax Number : 660-885-3690
Provider Business Practice Location Address
First Line : 102 COMPASS POINT DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4404
Country : US
Telephone Number : 844-853-8937
Fax Number : 660-885-3690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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