NICOLE ISABELL PALACIOS (NPI# 1962902437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962902437 |
| Entity Type | Individual |
| Full Name | NICOLE ISABELL PALACIOS |
| Practice Address |
700 Four Mile Pkwy Canon City CO 81212-9114 |
| Practice Telephone | 7192161797 |
| Mailing Telephone | 7192161797 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACD.0001301 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.09926216 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3228 Independence Rd, Canon City, CO 812129380 | 7192752429 | |
| 443 S, Co-105, Palmer Lake, CO 80133 | 7196020914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| Street Address |
700 FOUR MILE PKWY |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-9114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427417021 | Melissa Steinbach | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2016-02-11 |
| 1164021853 | Nicholas Mazzoni | Social Worker | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2020-10-22 |
| 1194349043 | Christine Nell Heikkenen | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2020-06-05 |
| 1245853050 | Michele Denise Young | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2020-05-27 |
| 1154809465 | Kristen Bowman | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2018-07-30 |
| 1699269142 | Cornell Corrections of California, Inc. | Clinic/Center | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2018-06-19 |
| 1881187250 | Lisa Dawn Auriti | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2018-06-11 |
| 1629506050 | Beatriz Chrystal Navarro | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212 | 2017-05-30 |
| 1871044743 | Jose Gonzalez | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2016-10-17 |
| 1790144749 | Joni Lownsdale | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2016-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054809 | Darcy Cole | Social Worker | 130 N 3rd St, Canon City, CO 81212-3259 | 2019-07-11 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1790286706 | Rosamond Therapeutic Services | Social Worker | 831 Royal Gorge Blvd Ste 226, Canon City, CO 81212-6709 | 2018-02-25 |
| 1831462027 | Judith Anne Bridgeman | Social Worker | 741 W Tyrolean Ct, Canon City, CO 81212-4393 | 2012-02-17 |
| 1073883054 | Eugene Robert Cook | Social Worker | 555 Evelyn Dr, Canon City, CO 81212-9455 | 2012-01-06 |
| 1275718215 | Kristi L Meyer | Social Worker | 1231 Baldwin Ave, Canon City, CO 81212-4927 | 2008-01-09 |
| 1831255058 | Lydia M Herbert | Social Worker | 3225 Independence Rd., Canon City, CO 81212 | 2006-12-29 |
| 1932261617 | Canon City Counseling & Psychotherapy Services | Social Worker | 109 Latigo Ln, Suite E-2, Canon City, CO 81212-8112 | 2006-12-15 |
| 1700979598 | Kira Lee Ricks | Social Worker | 1435 Elm St, Canon City, CO 81212-4469 | 2006-10-02 |
| 1164021853 | Nicholas Mazzoni | Social Worker | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2020-10-22 |
| Find all providers in CANON CITY | ||||
| City | CANON CITY |
| Zip Code | 81212 |
Please comment or provide details below to improve the information on NICOLE ISABELL PALACIOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.