Individual
SARAH A KELLY-PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01849
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059640
MEDICARE
—
01
—
1021740
NHP/BEACON GROUP NUMBER
—
01
—
33042-8
BLUE CROSS BLUE SHIELD RI
—
01
—
414314
BLUE CHIP
—
01
—
600250-584
MAGELLAN
—
05
—
SK57549
—
RI
Enumeration date
08/01/2006
Last updated
12/26/2008
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