Active NPI
Rochelle Polao, LCSW
- Clinical Social Worker
- Upper Darby, PA
National Provider Identifier
1669495396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CWO12105
- Practice address
- 8703 West Chester Pike
Upper Darby, PA 19083 - Phone
- (215) 545-7800
- Fax
- (215) 545-7870
- NPI assigned
- Jul 25, 2006
- 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 | CWO12105 | PA | Primary |
Addresses
Primary practice location
8703 West Chester Pike
Upper Darby, PA 19083
Mailing address
250 So 17 St
Philadelphi, PA 19103
Phone (215) 545-7800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CWO12105 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Psychology Services, PC | Past | Accepting new patients | |
| Professional Psychology Services | 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 and National Provider Directory roles.
-
- Clinical Psychologist
- Philadelphia, PA
- NPI 1861456212
-
- Professional Counselor
- Medford, NJ
- NPI 1609200567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1669495396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SO 17 ST",
"city": "PHILADELPHI",
"state": "PA",
"postal_code": "19103",
"telephone_number": "215-545-7800",
"fax_number": "215-545-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8703 WEST CHESTER PIKE",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "19083",
"telephone_number": "215-545-7800",
"fax_number": "215-545-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAO",
"first_name": "ROCHELLE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CWO12105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Darby, PA
- Nghia T. Phan, M.D.
- Philadelphia Vision Center
- Pillar of Hope Family Home Care Services Corporation
- Planned Parenthood Southeastern PA
- Pleasing,Comfort Home Aging Care
- Positive Effect Outreach Ministry, Inc.
- Premier Care & Staffing Services Inc
- Premier Day Home Care LLC
- Premium Care Medical Transport LLC
- Prestige Alliance Homecare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.