Active NPI
Joan R Polzin, LCSW
- Clinical Social Worker
- Farmington, CT
National Provider Identifier
1376897736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002584
- Practice address
- 270 Farmington Ave
#309
Farmington, CT 06032-1909 - Phone
- (860) 677-5570
- Fax
- (860) 677-9570
- NPI assigned
- Nov 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002584 | CT | Primary |
Addresses
Primary practice location
270 Farmington Ave
#309
Farmington, CT 06032-1909
Mailing address
270 Farmington Ave
Suite 309
Farmington, CT 06032-1909
Phone (860) 677-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002584 | CT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1376897736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE",
"address_2": "SUITE 309",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321909",
"telephone_number": "860-677-5570",
"fax_number": "860-677-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE",
"address_2": "#309",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321909",
"telephone_number": "860-677-5570",
"fax_number": "860-677-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLZIN",
"first_name": "JOAN",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "002584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.