Provider Demographics
NPI:1457712614
Name:LEON-PALIOTTI, ADELAIDA (LMSW)
Entity Type:Individual
Prefix:
First Name:ADELAIDA
Middle Name:
Last Name:LEON-PALIOTTI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 MILES AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-2440
Mailing Address - Country:US
Mailing Address - Phone:315-789-2613
Mailing Address - Fax:315-789-2524
Practice Address - Street 1:671 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-3414
Practice Address - Country:US
Practice Address - Phone:315-789-2613
Practice Address - Fax:315-789-2524
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049661104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker