Brian Pollack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05607800 Issued in NJ

Practice address

450 Springfield Ave Ste 302
Summit, NJ 07901-2611

Phone

(973) 637-0572

Fax

(908) 273-9548

NPI assigned

Sep 29, 2014

Sex

Male

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

Medicare enrollment (NPD)

Not 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.

• Brian Pollack, LCSW LLC

  • Clinical Social Worker
  • Summit, NJ
  • NPI 1033656061
  NPD (past) Authorized official

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1689077166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SPRINGFIELD AVE STE 302",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012611",
            "telephone_number": "973-637-0572",
            "fax_number": "908-273-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SPRINGFIELD AVE STE 302",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012611",
            "telephone_number": "973-637-0572",
            "fax_number": "908-273-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05607800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Pine, PSY.D
• Teresa Pitera-Kmiotek, NP
• William Anthony Pivinski, DMD
• Andrea Plitt
• Michael John Polisin, M.D.
• Jeffrey C Pollock, M.D.
• George Alan Popa, MD
• Positive Psychotherapy, LLC
• Joanna Poyssick, OTR/L
• Samantha Brooke Pozner, MD

• Clinical Social Worker in Summit, NJ
• Providers in Summit, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.