Individual provider Active NPI

Lorna McKenzie-Pollock, LICSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1174677090
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1015374 Issued in MA
Practice address
89 Abbottsford Rd
Brookline, MA 02446-5871
Phone
(617) 734-5042
Fax
(617) 738-1326
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 1015374 MA Primary

Addresses

Primary practice location

89 Abbottsford Rd
Brookline, MA 02446-5871

Mailing address

61 Boston St Apt 1
Somerville, MA 02143-2035
Phone (617) 738-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050607000395 MA Practitioner - Clinical Social Worker 2365485752 Practice locations: Somerville, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

61 Boston St
Apt 1
Somerville, MA 02143-2035
Phone (617) 738-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Suffolk Community Services Inc. PastSince Mar 3, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1174677090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BOSTON ST APT 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432035",
            "telephone_number": "617-738-1901",
            "fax_number": "617-738-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 ABBOTTSFORD RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465871",
            "telephone_number": "617-734-5042",
            "fax_number": "617-738-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE-POLLOCK",
        "first_name": "LORNA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.