Susan Kelly Polo, PCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW11474 Issued in FL

Practice address

100 W 20TH St
Riviera Beach, FL 33404-6158

Phone

(561) 775-9579

Fax

(772) 220-9894

NPI assigned

Apr 6, 2018

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Charities of the Diocese of Palm Beach, Inc.

  • Clinical Social Worker
  • Palm Beach Gardens, FL
  • NPI 1457308975
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1497252597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 N MILITARY TRL",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105460",
            "telephone_number": "561-775-9579",
            "fax_number": "772-220-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 20TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046158",
            "telephone_number": "561-775-9579",
            "fax_number": "772-220-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO",
        "first_name": "SUSAN",
        "middle_name": "KELLY",
        "credential": "PCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW11474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Patricia Plummer
• Andrew PO, PT
• Erini Vasiliadis Poggio, D.O.
• Brainy Attaa Pokuaa
• Tawanna M Pollock
• Susan Pope
• Ioana Popovici, M.D.
• Donald Jay Popper, DPM
• Keona Porter, MSW
• Rosemary V Portera

• Clinical Social Worker in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.