Lisa M Polka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4011 Issued in KS

Practice address

10551 Barkley St Ste 500
Overland Park, KS 66212-1892

Phone

(913) 213-3120

NPI assigned

Dec 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa M Preut Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1194028175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10551 BARKLEY ST STE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121892",
            "telephone_number": "913-213-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10551 BARKLEY ST STE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121892",
            "telephone_number": "913-213-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLKA",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005024750",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PREUT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Austin Poist
• James A Pokorney, RPH
• Gretchen P Poland, ARNP-C
• Christopher J Pole, M.D.
• Kevin Joe Policky, M.D.
• Arnold Jay Pollak, MD
• Avery Pollitt
• Abby Jo Pollock, APRN
• Whitney Pollock
• Anna Polodna

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.