Provider Demographics
NPI:1528379088
Name:PALOMBI, ALISON JADE (LCSW, ACHP-SW)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:JADE
Last Name:PALOMBI
Suffix:
Gender:F
Credentials:LCSW, ACHP-SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 SE FEDERAL HIGHWAY
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994
Mailing Address - Country:US
Mailing Address - Phone:772-267-8009
Mailing Address - Fax:
Practice Address - Street 1:819 SE FEDERAL HIGHWAY
Practice Address - Street 2:SUITE 200B
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-267-8009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW96241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical