Kalab Polky

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

249.030459 Issued in IL

Practice address

1628 Temple LN
Rockford, IL 61112-1045

Phone

(888) 277-4028

NPI assigned

Dec 11, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marshmallows Hope Nonprofit Organization Corp.

  • Adolescent and Children Mental Health Clinic/Center
  • Belleville, IL
  • NPI 1033001953
  NPD
• Marshmallows Hope Nonprofit Organization Corp.

  • Adolescent and Children Mental Health Clinic/Center
  • Rockford, IL
  • NPI 1366216061
  NPD

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1306700539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 TEMPLE LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121045",
            "telephone_number": "888-277-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 TEMPLE LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121045",
            "telephone_number": "888-277-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLKY",
        "first_name": "KALAB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "249.030459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Polan, DO
• Dilem Polat, MD
• Michael James Polizzotto, M.D.
• Amber Polk
• Daisy Polk
• Kevin M Polky, LCSW
• Jacob Pollock
• Lynne Marie Pollock, LCSW
• Jill Marie Polsean, PTA
• Kelly Polz

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.