NPIMap

Organization Active NPI

Martha Pollock LCSW

  • Community/Behavioral Health Agency
  • Burlingame, CA
National Provider Identifier
1891025573
Registry record updated Jan 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCS17078 Issued in CA
Legal business name
MARTHA POLLOCK LCSW
Practice address
1425 Broadway Ste 14
Burlingame, CA 94010-3435
Phone
(650) 348-5765
NPI assigned
Jan 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2010

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

Authorized official

Name
Ms. Martha Jean Pollock, LCSW
Title
Social Worker/Therapist
Phone
(650) 348-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCS17078 CA Primary

Addresses

Primary practice location

1425 Broadway Ste 14
Burlingame, CA 94010-3435

Mailing address

1425 Broadway Ste 14
Burlingame, CA 94010-3435
Phone (650) 348-5765

Other names 1

  • Affiliated Counselors & Therapist Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Joel Rector13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1425 Broadway
Ste 14
Burlingame, CA 94010
Phone (650) 242-5971

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262390400000",
    "number": "1891025573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BROADWAY STE 14",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103435",
            "telephone_number": "650-348-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BROADWAY STE 14",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103435",
            "telephone_number": "650-348-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA POLLOCK LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-02",
        "last_updated": "2010-01-02",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "650-348-5765",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS17078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Counselors & Therapist",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; 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.