Provider Demographics
NPI:1649400888
Name:PALOMINO, HUGO (LCSW- C)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:
Last Name:PALOMINO
Suffix:
Gender:M
Credentials:LCSW- C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8561 FENTON ST
Mailing Address - Street 2:STE 230
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4455
Mailing Address - Country:US
Mailing Address - Phone:301-565-9001
Mailing Address - Fax:301-565-9003
Practice Address - Street 1:8561 FENTON ST
Practice Address - Street 2:STE 230
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4455
Practice Address - Country:US
Practice Address - Phone:301-565-9001
Practice Address - Fax:301-565-9003
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical