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NPI Code Detail

MEDICARE: MRS. HEATHER LEIGH PALMER LCSW

MEDICARE: MRS. HEATHER LEIGH PALMER 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
11041C0700XClinical Social Worker5710CAL
21041C0700XClinical Social Worker149026193IL
31041C0700XClinical Social WorkerI.2304792OH
41041C0700XClinical Social Worker34005434AIN

General Provider Information

NPI Number : 1760059125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER LEIGH PALMER LCSW
Provider Business Mailing Address
First Line : 10410 SPLENDOR WAY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46234-3676
Country : US
Telephone Number : 317-201-1793
Fax Number :
Provider Business Practice Location Address
First Line : 3100 45TH ST STE 3
Second Line :
City : HIGHLAND
State : IN
Zip : 46322-3277
Country : US
Telephone Number : 888-998-7337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2021
Last Update Date : 07/30/2025

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