Provider Demographics
NPI:1124273123
Name:LESLIE J. PALUMBERI, LCSW, PA
Entity type:Organization
Organization Name:LESLIE J. PALUMBERI, LCSW, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LESLIEJ
Authorized Official - Middle Name:
Authorized Official - Last Name:PALUMBERI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:239-591-6636
Mailing Address - Street 1:1415 PANTHER LANE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7874
Mailing Address - Country:US
Mailing Address - Phone:239-777-4843
Mailing Address - Fax:239-591-6601
Practice Address - Street 1:1415 PANTHER LANE
Practice Address - Street 2:SUITE 203
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7874
Practice Address - Country:US
Practice Address - Phone:239-777-4843
Practice Address - Fax:239-591-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty