Elizabeth S Pollock, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1009721 Issued in MA

Practice address

41 Stanton Rd
Brookline, MA 02445-6806

Phone

(617) 277-3970

Fax

(617) 734-5278

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891840005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 STANTON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456806",
            "telephone_number": "617-734-7869",
            "fax_number": "617-734-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 STANTON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456806",
            "telephone_number": "617-277-3970",
            "fax_number": "617-734-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1009721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PO2682",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PO PO Isa Chui, D.M.D., LLC
• Natalie Podolsky
• Reizel Polak, LICSW
• Sharon Polk-Sadownik, LICSW
• Amie Alley Pollack, PH.D.
• Derek C Polonsky, M.D.
• Miriam Polter, BCBA
• Mitchell Allen Pomerantz
• Silvia Ponce, DDS
• Audrey Porter

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.