Kristal Marie Pollack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9844 Issued in FL

Practice address

101 American Center PL
Suite 108
Tampa, FL 33619-4448

Phone

(813) 951-7346

NPI assigned

Apr 15, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Florida DBT Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oviedo, FL
  • NPI 1841861440
  NPD Authorized official
• The Florida Center for Early Childhood, Inc.

  • Community/Behavioral Health Agency
  • Sarasota, FL
  • NPI 1811044324
  NPD (past)
• The Florida Center for Early Childhood, Inc.

  • Clinic/Center
  • Sarasota, FL
  • NPI 1831340660
  NPD (past)

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1902122948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 NAVAREZ AVE",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346952106",
            "telephone_number": "813-951-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AMERICAN CENTER PL",
            "address_2": "SUITE 108",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194448",
            "telephone_number": "813-951-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "KRISTAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Polite
• Douglas E. Politz, M.D.
• Kaila Jean Polizzi, MD
• Jazmyn Polk
• Olivia Holland Polk, APRN
• Valerie Pollack
• Eliyah Beth Pollak, DO
• Cory Pollard, M.D.
• Lanayah Pollard
• Natasha Pollard

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.