Provider Demographics
NPI:1538135710
Name:POLLAK, JOAN F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:F
Last Name:POLLAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 HAMILTON RD.
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1125
Mailing Address - Country:US
Mailing Address - Phone:610-724-2829
Mailing Address - Fax:610-617-3507
Practice Address - Street 1:540 HAMILTON RD.
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1125
Practice Address - Country:US
Practice Address - Phone:610-724-2829
Practice Address - Fax:610-617-3507
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW000489L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
G34511Medicare UPIN
PAG34511Medicare ID - Type Unspecified