David A Poleno, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

03571 Issued in MD

Practice address

724 High Rock Rd N
Hanover, PA 17331-6863

Phone

(717) 969-5217

NPI assigned

Dec 28, 2006

Last updated

Sep 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humanim Inc

  • Respite Care
  • Columbia, MD
  • NPI 1134343627
  NPD (past)
• Humanim Inc

  • Case Management Agency
  • Odenton, MD
  • NPI 1346606365
  NPD (past)
• Humanim Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Columbia, MD
  • NPI 1467676932
  NPD (past)
• Humanim Inc

  dba Residential-Brain Injury

  • Physical Disabilities Residential Treatment Facility
  • Columbia, MD
  • NPI 1871717264
  NPD (past)
• Humanim Supported Employment Aa

  • Community/Behavioral Health Agency
  • Odenton, MD
  • NPI 1649819830
  NPD (past)
• Humanim Supported Employment HC

  • Case Management Agency
  • Columbia, MD
  • NPI 1386002749
  NPD (past)
• Humanim Supported Employment HC

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1467091652
  NPD (past)
• Humanim Supported Employment MC

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1164201497
  NPD (past)
• Humanim Targeted Case Management

  • Case Management Agency
  • Columbia, MD
  • NPI 1104272087
  NPD (past)
• Humanim TBS

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1275117061
  NPD (past)
• Humanim-Workfirst

  • Developmentally Disabled Services Day Training Agency
  • Baltimore, MD
  • NPI 1750570297
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1215093190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HAMILTON AVE # OEC73",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 HIGH ROCK RD N",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173316863",
            "telephone_number": "717-969-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLENO",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "532201400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615501400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Treatment Centers PA-VII, LLC (Hanover Treatment Services)
• Pleasant Hill Volunteer Fire Company
• Jane Plotica
• Kasandra Ashley Ploutz
• Kristine Plunkett
• Kevin Polifko, PHARMACIST
• Matthew Adam Posner, MD
• Premise Health of Pennsylvania Medical PC (Snyders - Hanover)
• Premise Health of Pennsylvania Medical PC (Homewood - Hanover)
• Vernon H Preston, M.D.

• Clinical Social Worker in Hanover, PA
• Providers in Hanover, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.