Provider Demographics
NPI:1659842862
Name:PALADINO, REBECCA MARGARET (LMSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MARGARET
Last Name:PALADINO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-1236
Mailing Address - Country:US
Mailing Address - Phone:315-731-2610
Mailing Address - Fax:315-731-5610
Practice Address - Street 1:310 MAIN ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-1236
Practice Address - Country:US
Practice Address - Phone:315-792-9039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091111104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker