Provider Demographics
NPI:1174638993
Name:POLLACK, ARMANDO A (MSW)
Entity Type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:A
Last Name:POLLACK
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 SONOMA AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-7014
Mailing Address - Country:US
Mailing Address - Phone:505-690-8633
Mailing Address - Fax:
Practice Address - Street 1:2213 BROTHERS RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-6993
Practice Address - Country:US
Practice Address - Phone:505-986-8659
Practice Address - Fax:505-986-8656
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-06621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical