Active NPI
Polly Elizabeth Drew, LCSW, LMFT
- Marriage & Family Therapist
- Mequon, WI
National Provider Identifier
1164592655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 21-124
- Practice address
- 1001 W Glen Oaks LN
Suite 205
Mequon, WI 53092-3365 - Phone
- (262) 478-0888
- Fax
- (262) 478-9329
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1988-123 | WI | |
| Marriage & Family Therapist | 106H00000X | 21-124 | WI | Primary |
Addresses
Primary practice location
1001 W Glen Oaks LN
Suite 205
Mequon, WI 53092-3365
Mailing address
1001 W Glen Oaks LN
Suite 205
Mequon, WI 53092-3365
Phone (262) 478-0888
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1988-123 | WI | MD | Clinical Social Worker |
| 21-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164592655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W GLEN OAKS LN",
"address_2": "SUITE 205",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923365",
"telephone_number": "262-478-0888",
"fax_number": "262-478-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W GLEN OAKS LN",
"address_2": "SUITE 205",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923365",
"telephone_number": "262-478-0888",
"fax_number": "262-478-9329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "POLLY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "1988-123",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "21-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.