Active NPI
Ari Poliakoff LLC
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1285223636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ARI POLIAKOFF LLC
- Practice address
- 3211 Fallstaff Rd
Baltimore, MD 21215-1720 - Phone
- (410) 340-2443
- NPI assigned
- Jan 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ari Poliakoff, LCSW-C
- Title
- Owner
- Phone
- (347) 878-0485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3211 Fallstaff Rd
Baltimore, MD 21215-1720
Mailing address
3211 Fallstaff Rd
Baltimore, MD 21215-1720
Phone (347) 878-0485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655856000000",
"number": "1285223636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 FALLSTAFF RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212151720",
"telephone_number": "347-878-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 FALLSTAFF RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212151720",
"telephone_number": "410-340-2443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARI POLIAKOFF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-11",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A",
"authorized_official_last_name": "POLIAKOFF",
"authorized_official_first_name": "ARI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-878-0485",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.