Wendy R Pollack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05256300 Issued in NJ

Practice address

10 Brookside Ave
#1B
Caldwell, NJ 07006-5600

Phone

(973) 714-2771

NPI assigned

Aug 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Jewish Family Service of Metrowest

  • Community/Behavioral Health Agency
  • Florham Park, NJ
  • NPI 1144381039
  NPD (past)
• Jewish Family Service of Metrowest

  • Case Manager/Care Coordinator
  • Florham Park, NJ
  • NPI 1861904963
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902815236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FERNWOOD PL",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542220",
            "telephone_number": "973-714-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROOKSIDE AVE",
            "address_2": "#1B",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065600",
            "telephone_number": "973-714-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "WENDY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05256300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11446618",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas B Paul, OPTICIAN
• Linda Perry, PMHNP-BC, CNM
• Melissa Petrone, LCSW
• Dimitry Polishchuk
• Salvatrice Rosalia Polizzotto, MSW, LCSW LLC
• Precision Vision
• Premier Family Medical, PC
• Cynthia R Prestigiacomo, MD
• Prime Arthritis and Rheumatology Center LLC
• Princeton Behavioral Associates, LLC

• Clinical Social Worker in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Clinical Social Worker in New Jersey

• 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.