Palmen, Jessica N

Palmen, Jessica N is an individual health care provider with primary practice located at 29520 Canvasback Dr , Easton MD 21601-7124. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Palmen, Jessica N can be contacted via phone (410) 822-5007.

Contact Information

Primary practice address
29520 Canvasback Dr Easton MD 21601-7124
Phone: (410) 822-5007
Fax: (410) 822-5569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20248 Maryland
Behavioral Health & Social Service Providers / Social Worker 104100000X 20248 Maryland

Profile Details

NPI number 1245596436
LBN Legal business name Palmen, Jessica N
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated Sep 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245596436 NPPES
Maryland Other 346646 TRICARE/MHN
Maryland MEDICAID 609500300 TRICARE/MHN
Maryland Other 742L TRICARE/MHN
Maryland Other 7840093 TRICARE/MHN
Maryland Other R968 TRICARE/MHN
Maryland Other 259147-000 TRICARE/MHN
Maryland MEDICAID 609550002 TRICARE/MHN

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