Provider Demographics
NPI:1811186190
Name:SCHMIDT, KRISTA LYNN PALOMINO (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:LYNN PALOMINO
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 VITTORIO DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3245
Mailing Address - Country:US
Mailing Address - Phone:925-325-6287
Mailing Address - Fax:
Practice Address - Street 1:1600 EUREKA RD. BLDG. C, DOOR 2MC16
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:916-474-2316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker