Provider Demographics
NPI:1326404575
Name:PALLIPARAMBIL, FRANCIS DANIEL (LICSW)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:DANIEL
Last Name:PALLIPARAMBIL
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7112 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4513
Mailing Address - Country:US
Mailing Address - Phone:301-588-0246
Mailing Address - Fax:301-588-0222
Practice Address - Street 1:7112 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4513
Practice Address - Country:US
Practice Address - Phone:301-588-0246
Practice Address - Fax:301-588-0222
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3000771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical