Patricia A Polinski, LCSW

Individual provider Active NPI Clinical Social Worker · Mt. Pocono, PA

NPI 1013971480 · NPPES record last updated Apr 8, 2010

Key facts

NPI
1013971480
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW012491 (PA)
Practice address
663 Pocono Blvd.
Mt. Pocono, PA 18344
Phone
(570) 839-3097
Fax
(570) 839-8798
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CW012491PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Merakey Pennsylvania Past Accepting new patients
Catholic Social Services, Inc. Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW012491 PA Yes

Addresses

Primary practice location

663 Pocono Blvd.
Mt. Pocono, PA 18344

Mailing address

663 Pocono Blvd.
Mt. Pocono, PA 18344
Phone (570) 839-3097

Other providers in Mt. Pocono, PA

All providers in Mt. Pocono, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.