Provider Demographics
NPI:1255628731
Name:PALMIOTTO, KIMBERLEY (LPC)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:
Last Name:PALMIOTTO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 RIDGELY AVE
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1069
Mailing Address - Country:US
Mailing Address - Phone:443-584-3731
Mailing Address - Fax:
Practice Address - Street 1:49 OLD SOLOMONS ISLAND RD STE 303
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3870
Practice Address - Country:US
Practice Address - Phone:410-844-8998
Practice Address - Fax:866-251-7548
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPC 63101YP2500X, 101Y00000X
OKLPC07523101YP2500X, 101YP2500X
CALEP2621101YS0200X
MDLC8984101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101Y00000XBehavioral Health & Social Service ProvidersCounselor