MEDICARE: ERIN L PALLARD LCSW

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	SWI16518	FL
2	1041C0700X	Clinical Social Worker	SW22451	FL

General Provider Information

NPI Number	:	1225817588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN L PALLARD LCSW

Provider Business Mailing Address
First Line	:	3023 30TH CT
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33477-9368
Country	:	US
Telephone Number	:	407-488-7035
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 PGA BLVD STE 215
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3988
Country	:	US
Telephone Number	:	561-223-1638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2023
Last Update Date	:	01/05/2025

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