Cortlin Polo, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015551 Issued in NC

Practice address

4004 Ben Franklin Blvd
Durham, NC 27704-2138

Phone

(919) 479-1600

NPI assigned

Jun 10, 2020

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Psychiatric and Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Trent Woods, NC
  • NPI 1174487292

  Multi-Specialty

  Medicare reassignment NPD
• Asheli Thompson

  dba Integrative Wellness Solutions

  • Community/Behavioral Health Agency
  • Mooresville, NC
  • NPI 1073955621

  Multi-Specialty

  NPD
• Charles D Godwin

  dba Eastern Carolina Psychiatric Services

  • Psychiatry Physician
  • Trent Woods, NC
  • NPI 1134176506

  Clinical

  NPD
• Optum Behavioral Care of North Carolina, PC

  dba Carolina Behavioral Care Centers

  • Counseling Psychologist
  • Hillsborough, NC
  • NPI 1629843933

  Multi-Specialty

  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Bakersville, NC
  • NPI 1437443843

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1831714369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E CENTER ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022560",
            "telephone_number": "919-479-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042138",
            "telephone_number": "919-479-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Millstone Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272788776",
            "country_code": "US",
            "telephone_number": "919-245-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLO",
        "first_name": "CORTLIN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Carriker Pollard
• David Pollock, M.D.
• Laurie Pollock
• McLean Dickinson Pollock, PHD, MSW
• Alison Rees Polly, FNP
• Alice Polonsky, OTR/L
• Martha Polovich, RN
• Dori Marisa Polovsky
• Jeilany Marie Pomales
• Jordan Pomeroy, MD-PHD

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.