Individual provider · Type 1 NPI

Theresa Jeannette-Palermo, LCSW

Clinical Social Worker · Boulder, CO

NPI number 1194873646 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Mailing address

710 S 45th St
Boulder, CO 80305-6054

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X991979 (CO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194873646

Theresa Jeannette-Palermo, LCSW's National Provider Identifier is 1194873646, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.