Provider Demographics
NPI:1700022779
Name:PASKO, MAUREEN (LMSW)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:PASKO
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 1:32 HOLLANDALE LN APT M
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-5277
Mailing Address - Country:US
Mailing Address - Phone:518-275-7715
Mailing Address - Fax:
Practice Address - Street 1:32 HOLLANDALE LN APT M
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-5277
Practice Address - Country:US
Practice Address - Phone:518-275-7715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059390104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker