Katy J Polich, MSSW, CISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1015-122 Issued in WI

Practice address

1423 S Park St
Madison, WI 53715-2105

Phone

(608) 280-2700

NPI assigned

Jan 5, 2017

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1326583972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 N SHERMAN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152105",
            "telephone_number": "608-280-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537152105",
            "country_code": "US",
            "telephone_number": "608-280-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLICH",
        "first_name": "KATY",
        "middle_name": "J",
        "credential": "MSSW, CISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1015-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Polenska
• Sarah Polenska, DPT
• Nathan David Poli, MD
• Michelle Ann Poliak-Tunis, M.D.
• Kaitlin E Poliak
• Rebecca Politis, CCC-SLP
• Robert Pollan, D.D.S
• Andrea Pollema, DNP, APNP
• Ashia Marie Pollen, RN
• Kirsten Pollock, APSW, MSW

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.