Christine Jean Pollastro, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004715 Issued in WA

Practice address

2900 NW 106TH St
Vancouver, WA 98685-4734

Phone

(509) 432-3084

NPI assigned

Aug 3, 2005

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 3

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.

• Evergreen Counseling Services, PC

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1174754071
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403395200000",
    "number": "1942201637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 BROADWAY ST",
            "address_2": "SUITE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633390",
            "telephone_number": "509-432-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NW 106TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854734",
            "telephone_number": "509-432-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLASTRO",
        "first_name": "CHRISTINE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011106",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "911383928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "911635333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Poleson, DMD
• Casey Rae Poling
• Laura Polione
• Brian Scott Pollard, PHARMD
• Christian Pollard, DC
• Leah Polley
• Anne Pollock, MSN, RN, PMHNP-BC
• Edward Martin Pollock
• Judith A Pollock, RN
• Alla Polyakov

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2014; 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.