Colonie Counseling Services, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLONIE COUNSELING SERVICES, LCSW, PLLC

Practice address

1707 Central Ave
Albany, NY 12205

Phone

(518) 464-0232

Fax

(518) 464-0202

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Sharon R. Polovina, LCSWNPI 1619041100

Title

Owner

Phone

(518) 464-0232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon Ruth Polovina

  • Clinical Social Worker
  • Albany, NY
  • NPI 1619041100
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1164768297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CENTRAL AVE.",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-464-0232",
            "fax_number": "518-464-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-464-0232",
            "fax_number": "518-464-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIE COUNSELING SERVICES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "POLOVINA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-464-0232",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Collins, M.D, PH.D.
• Sarah E Collins
• David Lawrence Colman, M.D.
• Neil D Colman, M.D.
• Michael T Colon, MD
• Colonie Senior Service Centers, Inc.
• Colonie Youth Center, Inc.
• Julie Colton
• Rachael Colucciello, CRNA
• Nicole D Coluccio, M.D.

• 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 May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.