Active NPI
Polly Corman Inc
- Clinical Social Worker
- Nyack, NY
National Provider Identifier
1407192032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 051386-1
- Legal business name
- POLLY CORMAN INC
- Practice address
- 218 Birchwood Ave
Nyack, NY 10960-1428 - Phone
- (845) 348-0721
- NPI assigned
- Dec 31, 2012
- 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
- Polly Jo Corman, LCSW-R
- Title
- Psychotherapist
- Phone
- (845) 348-0721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 051386-1 | NY | Primary |
Addresses
Primary practice location
218 Birchwood Ave
Nyack, NY 10960-1428
Mailing address
218 Birchwood Ave
Nyack, NY 10960-1428
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356912000000",
"number": "1407192032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 BIRCHWOOD AVE",
"city": "NYACK",
"state": "NY",
"postal_code": "109601428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 BIRCHWOOD AVE",
"city": "NYACK",
"state": "NY",
"postal_code": "109601428",
"telephone_number": "845-348-0721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLLY CORMAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-31",
"last_updated": "2012-12-31",
"status": "A",
"authorized_official_last_name": "CORMAN",
"authorized_official_first_name": "POLLY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "845-348-0721",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "051386-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.