Provider Demographics
NPI:1689012270
Name:PALADY KLEE, CARLY JEAN (LICSW)
Entity type:Individual
Prefix:MRS
First Name:CARLY
Middle Name:JEAN
Last Name:PALADY KLEE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:JEAN
Other - Last Name:PALADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:26828 MAPLE VALLEY BLACK DIAMOND RD SE STE 151
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-8309
Mailing Address - Country:US
Mailing Address - Phone:253-372-8283
Mailing Address - Fax:888-518-1128
Practice Address - Street 1:26828 MAPLE VALLEY BLACK DIAMOND RD SE STE 151
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-8309
Practice Address - Country:US
Practice Address - Phone:253-372-8283
Practice Address - Fax:888-518-1128
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WASC604393441041C0700X
WALW607050951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor