Provider Demographics
NPI:1922060953
Name:PALMIZIO, DARLEEN A (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:DARLEEN
Middle Name:A
Last Name:PALMIZIO
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 1:23 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3025
Mailing Address - Country:US
Mailing Address - Phone:732-528-7350
Mailing Address - Fax:732-528-7300
Practice Address - Street 1:23 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3025
Practice Address - Country:US
Practice Address - Phone:732-528-7350
Practice Address - Fax:732-528-7300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00582500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ959113Medicare ID - Type Unspecified
S43527Medicare UPIN