| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAURA K PALM | 1982752663 | 2024-11-08 |
Laura K Palm [F] graduated in 1998 and primarily specializes in Clinical Social Worker.
Laura K Palm is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982752663. Registration indicates Laura K Palm is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| PECOS ID | 4284635905 |
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Laura K Palm LCSW |
| Practice Office Address | 1 BETHANY RD BUILDING 5 STE 69 HAZLET, NJ US |
| Practice Office Telephone | 7323440736 |
| Mailing Address | 1 BETHANY RD BUILDING 5 STE 69 HAZLET, NJ 077301668 US |
| Business Telephone | 7323440736 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1088 State Route 34 | Matawan, NJ 077471948 | 7322901700 / 7322900040 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 44SC05225800
NJ |