Provider Demographics
NPI:1518702273
Name:PANETO, MAGALY (LCSW)
Entity type:Individual
Prefix:
First Name:MAGALY
Middle Name:
Last Name:PANETO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ALTS SABANERAS
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-1601
Mailing Address - Country:US
Mailing Address - Phone:939-290-8629
Mailing Address - Fax:
Practice Address - Street 1:8 ALTS SABANERAS
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1601
Practice Address - Country:US
Practice Address - Phone:939-290-8629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR143791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical