Katie Polanco, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW010062 Issued in GA

Practice address

4080 McGinnis Ferry Rd Ste 1304
Alpharetta, GA 30005-3951

Phone

(678) 740-3990

Fax

(844) 903-4670

NPI assigned

Mar 2, 2020

Sex

Female

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.

• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1871127605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 BILTMORE LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356463",
            "telephone_number": "917-287-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 1304",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053951",
            "telephone_number": "678-740-3990",
            "fax_number": "844-903-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "KATIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103181-1",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW010062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara A. Plotkin, MA, CCC-SLP
• Margaret Cyniece Plunkett
• Plural Minds Therapy LLC
• Claudia Demme Pluta, MSW
• Danielle Emily Podolin
• Polish Dental Center Alpharetta LLC
• Richard Polke
• Candice E. Poor, BA, NCTM
• Alexander Daniel Poorman, PT, DPT
• Shelby Pope, CRNA

• Social Worker in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.