Provider Demographics
NPI:1073672986
Name:POLLAK, CATHERINE ANNE (MSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANNE
Last Name:POLLAK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 DIAMOND SPRING ROAD
Mailing Address - Street 2:SUITE EIGHT
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2750
Mailing Address - Country:US
Mailing Address - Phone:973-625-9128
Mailing Address - Fax:973-625-9128
Practice Address - Street 1:23 DIAMOND SPRING ROAD
Practice Address - Street 2:SUITE EIGHT
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2750
Practice Address - Country:US
Practice Address - Phone:973-625-9128
Practice Address - Fax:973-625-9128
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003087001041C0700X
NJ37F100139100106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist