Jonathan P. Pollack, LCSW, MPA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R045638-1 Issued in NY

Practice address

170 Ontario St
Albany, NY 12206-2321

Phone

(518) 626-5161

Fax

(518) 462-3099

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Family & Children's Service of the Capital Region Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albany, NY
  • NPI 1093851925
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033227822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAPITOL PL",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449658",
            "telephone_number": "518-626-5161",
            "fax_number": "518-462-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ONTARIO ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062321",
            "telephone_number": "518-626-5161",
            "fax_number": "518-462-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "JONATHAN",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "LCSW, MPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045638-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Roy Pokorny, M.D.
• Kim Ann Poli, MD
• Jessica Elizabeth Polins, PA
• Joseph Michael Polito, M.D.
• Margret Poll
• Jennifer Pollard
• Sharon Ruth Polovina
• Beatrice Polynice, LMSW
• Roberta (M) Ponemon, PA
• Julieta S Pope, NP

• Clinical Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.