Provider Demographics
NPI:1093927865
Name:PALOMO, GUADALUPE PENA (MSSW, LBSW)
Entity Type:Individual
Prefix:MRS
First Name:GUADALUPE
Middle Name:PENA
Last Name:PALOMO
Suffix:
Gender:F
Credentials:MSSW, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5810
Mailing Address - Country:US
Mailing Address - Phone:956-373-6906
Mailing Address - Fax:956-373-6806
Practice Address - Street 1:604 W 5TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5810
Practice Address - Country:US
Practice Address - Phone:946-463-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2022-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28777104100000X, 1041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical