Leigh Blaine Polin, SOCIAL WORKER, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05965800 Issued in NJ

Practice address

499 Main St FL 2
Metuchen, NJ 08840-1464

Phone

(848) 207-4670

NPI assigned

Mar 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

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.

• Leigh Polin LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Metuchen, NJ
  • NPI 1417675083
  NPD Authorized official

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1821624008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 MAIN ST FL 2",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401464",
            "telephone_number": "848-207-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 MAIN ST FL 2",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401464",
            "telephone_number": "848-207-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIN",
        "first_name": "LEIGH",
        "middle_name": "BLAINE",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL WORKER, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL05313900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05965800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy & Sports Medicine Center of Metuchen
• Physical Therapy and You
• Therese D Piasecki, NP
• Plastic and Reconstructive Surgery Associates, LLC
• Point of View Counseling LLC
• Nathaniel Howard Poorman, D.M.D.
• Positive Impact Behavioral Health Services
• Nancy Cecile Prendergast, MD
• Prime Medical Care LLC
• Frederic Frank Primich, M.D.

• Clinical Social Worker in Metuchen, NJ
• Providers in Metuchen, 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 Sep 25, 2022; 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.

Verify at the official NPI Registry.