Provider Demographics
NPI:1114516762
Name:PALLADINO, JAMI (LCSW-R)
Entity Type:Individual
Prefix:MISS
First Name:JAMI
Middle Name:
Last Name:PALLADINO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 CULVERTON RD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-5505
Mailing Address - Country:US
Mailing Address - Phone:315-982-8302
Mailing Address - Fax:
Practice Address - Street 1:911 CULVERTON RD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-5505
Practice Address - Country:US
Practice Address - Phone:315-982-8302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0854781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical