Provider Demographics
NPI:1396786950
Name:PALARINO, MARY Y (CSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:Y
Last Name:PALARINO
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10526 NE 68TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7004
Mailing Address - Country:US
Mailing Address - Phone:206-302-8808
Mailing Address - Fax:
Practice Address - Street 1:10526 NE 68TH ST STE 100
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7004
Practice Address - Country:US
Practice Address - Phone:425-947-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA609027731041C0700X, 1041C0700X
MO20050343621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical