Provider Demographics
NPI:1053771089
Name:PALMATIER, ALISON (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:
Last Name:PALMATIER
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 1:801 UNIVERSITY BLVD W
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1040
Mailing Address - Country:US
Mailing Address - Phone:301-681-4112
Mailing Address - Fax:
Practice Address - Street 1:1106 UNIVERSITY BLVD W
Practice Address - Street 2:THE PATHWAYS SCHOOLS
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3302
Practice Address - Country:US
Practice Address - Phone:301-649-0778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD136961041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool