Provider Demographics
NPI:1801831540
Name:PALMIERI-PARKS, JANET (LCSW-C)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:PALMIERI-PARKS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9208 CURTIS CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5209
Mailing Address - Country:US
Mailing Address - Phone:301-780-5669
Mailing Address - Fax:301-249-8776
Practice Address - Street 1:2905 MITCHELLVILLE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1385
Practice Address - Country:US
Practice Address - Phone:301-249-8700
Practice Address - Fax:301-249-8776
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD117661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCM3280005OtherCAREFIRST
MD2125125OtherMAMSI
MD64119201OtherCAREFIRST RENDERING