Provider Demographics
NPI:1225817588
Name:PALLARD, ERIN L (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:PALLARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 30TH CT
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-9368
Mailing Address - Country:US
Mailing Address - Phone:407-488-7035
Mailing Address - Fax:
Practice Address - Street 1:4550 PGA BLVD STE 215
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3988
Practice Address - Country:US
Practice Address - Phone:561-223-1638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-26
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSWI165181041C0700X
FLSW224511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical