Individual provider Active NPI

Sheila S Polinsky, LCSW

  • Clinical Social Worker
  • Jamestown, NC
National Provider Identifier
1063466142
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000666 Issued in NC
Practice address
725 W Main St
Jamestown, NC 27282-7506
Phone
(336) 889-6800
Fax
(336) 889-6800
NPI assigned
May 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000666 NC Primary

Addresses

Primary practice location

725 W Main St
Jamestown, NC 27282-7506

Mailing address

PO Box 772
Jamestown, NC 27282-0772
Phone (336) 889-6800

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C000666NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1063466142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272820772",
            "telephone_number": "336-889-6800",
            "fax_number": "336-889-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W MAIN ST",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827506",
            "telephone_number": "336-889-6800",
            "fax_number": "336-889-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINSKY",
        "first_name": "SHEILA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-21",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.