Robert Steven Polen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-19390 Issued in AZ

Practice address

1830 S Alma School Rd Ste 112
Mesa, AZ 85210-3086

Phone

(480) 730-6222

NPI assigned

Jun 17, 2021

Sex

Male

Sole proprietor

Yes

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

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.

• Arizona Psychology Consultants, Inc.

  • Pastoral Counselor
  • Mesa, AZ
  • NPI 1295852051
  NPD (past)
• Professional Counseling Associates, LLC

  • Marriage & Family Therapist
  • Mesa, AZ
  • NPI 1568581031

  Clinical

  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1831768563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103086",
            "telephone_number": "480-730-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103086",
            "telephone_number": "480-730-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEN",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19390",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ellen Poirier, DMD, MS
• Theresa Pol, LMSW
• Theodore William Polakowski, ATC
• Donald B Polansky, MD
• Polaris Academy LLC
• Douglas D Polenz, PHD
• Ronda Diane Polesky, M.S.,CCC/SLP
• Cameron Polich
• Jeff Pollett
• Joseph M Poloni, PT

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.