Amanda Pollak, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801110143 Issued in MI

Practice address

6900 E 10 Mile Rd
Center Line, MI 48015-1168

Phone

(586) 501-3070

NPI assigned

Jan 22, 2025

Last updated

Apr 11, 2025By the provider in NPPES

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Easterseals Morc Health Care, Inc.

  dba Easter Seals-Michigan, Inc

  • Psychiatry Physician
  • Auburn Hills, MI
  • NPI 1376526616
  Medicare reassignment NPD
• Lai Psychological Services LLC

  dba Bloomfield Center for Psychology & Wellness

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1851144224
  Medicare reassignment NPD
• Place of Hope PLC

  dba The Place of Hope

  • Psychiatry Physician
  • Dearborn Heights, MI
  • NPI 1750972360
  NPD (past)

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1356153910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49373 MUSTANG DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424713",
            "telephone_number": "865-533-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151168",
            "telephone_number": "586-501-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "AMANDA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Paolucci, LLMSW
• Shannon Colleen Papez-Rushton
• Sydney Parus
• Patterson Phelbotomy LLC (Patterson phlebotomy)
• Julie Perry
• Deborah Prentiss
• Snezana Price
• Prime Dental Care PLLC
• Primecare Medical Centers of Michigan, P.L.L.C.
• Professional Dental Alliance of Michigan, LLC (Refresh Dental Center Line)

• Clinical Social Worker in Center Line, MI
• Providers in Center Line, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.