Healthcare Provider Details

I. General information

NPI: 1649563586
Provider Name (Legal Business Name): BRITTANY J PALERMO LCSW-R
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 09/28/2026
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5893 CAMP RD, STE 5
HMBURG NY
14075
US

IV. Provider business mailing address

5893 CAMP RD, STE 5
HMBURG NY
14075
US

V. Phone/Fax

Practice location:
  • Phone: 716-412-2803
  • Fax: 716-351-5934
Mailing address:
  • Phone: 716-412-2803
  • Fax: 716-351-5934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number082343
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: