Courtney Lynn Polka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088303 Issued in NY

Practice address

3140 Sheridan Dr Suite 209
Amherst, NY 14226-1422

Phone

(716) 545-4324

Fax

(716) 759-7396

NPI assigned

Dec 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Courtney Lynn Sahr Former name

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

• Empowered Healing LLC

  • Clinical Social Worker
  • Amherst, NY
  • NPI 1164270633
  NPD Authorized official

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1487924957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 SHERIDAN DR SUITE 209",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142268708",
            "telephone_number": "716-545-4324",
            "fax_number": "716-759-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 SHERIDAN DR SUITE 209",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261422",
            "telephone_number": "716-545-4324",
            "fax_number": "716-759-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLKA",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2022-02-18",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SAHR",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd E Plinke, D.C.
• Constance Pocock
• Podiatry Affiliates, PC
• Suzy Podraza
• Heidi A Polek
• Maureen Polokoff
• Ellen Kay Porrath-Lord, MSED
• Positive Approach Customized Therapy, Applied Behavior Analysis, PLLC
• Jacob Potwora
• Joshua Powell

• Clinical Social Worker in Amherst, NY
• Providers in Amherst, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.