MEDICARE: P.A.L.M.S. PROVIDING ALTERNATIVE LINES OF MOVEMENT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1205488038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P.A.L.M.S. PROVIDING ALTERNATIVE LINES OF MOVEMENT SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 7251
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-7251
Country	:	US
Telephone Number	:	732-337-9684
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 SCENIC DR STE 2
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-5211
Country	:	US
Telephone Number	:	732-702-1273
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ LICENSED CLINICIAN
Name	:	MARYANNE GALLOWAY
Credential	:	LCSW
Telephone Number	:	732-337-9684

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	09/18/2023

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