Provider Demographics
NPI:1013795442
Name:PALUMBO, CHRISLYN (LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:CHRISLYN
Middle Name:
Last Name:PALUMBO
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:MS
Other - First Name:CHRISLYN
Other - Middle Name:
Other - Last Name:VANASEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:18101 LORAIN AVE OFC BLDG308
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-5612
Mailing Address - Country:US
Mailing Address - Phone:215-527-6440
Mailing Address - Fax:
Practice Address - Street 1:18101 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5612
Practice Address - Country:US
Practice Address - Phone:216-527-6440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1000203-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical