Provider Demographics
NPI:1205851045
Name:PALMIERI, NICHOLAS M (LCADC, CCDC)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:M
Last Name:PALMIERI
Suffix:
Gender:M
Credentials:LCADC, CCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 ENGLAR RD STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-2927
Mailing Address - Country:US
Mailing Address - Phone:410-615-3469
Mailing Address - Fax:800-251-0179
Practice Address - Street 1:250 ENGLAR RD STE 3
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-2927
Practice Address - Country:US
Practice Address - Phone:410-615-3469
Practice Address - Fax:800-251-0179
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4126101YA0400X
MDLCA059101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)