Active NPI
Sabrina Marie Malak Polio, LCSW
- Social Worker
- Alexandria, VA
National Provider Identifier
1659978815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 108A S Columbus St
Alexandria, VA 22314-3051 - Phone
- (703) 963-4261
- NPI assigned
- Oct 1, 2020
- Last updated
- May 19, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
108A S Columbus St
Alexandria, VA 22314-3051
Mailing address
1310 Princess St
Alexandria, VA 22314-2212
Phone (609) 221-0966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 10, 2023 through May 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Side Therapy LLC | Current | Accepting new patients | |
| Alexandria Place Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alexandria, VA
- NPI 1316720550
-
- Clinical Social Worker
- Alexandria, VA
- NPI 1942545942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1659978815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 PRINCESS ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142212",
"telephone_number": "609-221-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108A S COLUMBUS ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143051",
"telephone_number": "703-963-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLIO",
"first_name": "SABRINA",
"middle_name": "MARIE MALAK",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.