Provider Demographics
NPI:1568625978
Name:POLLACK, ESTHER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:POLLACK
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 1:300 NORTH AVE E
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2435
Mailing Address - Country:US
Mailing Address - Phone:908-276-2244
Mailing Address - Fax:908-931-0304
Practice Address - Street 1:300 NORTH AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2435
Practice Address - Country:US
Practice Address - Phone:908-276-2244
Practice Address - Fax:908-931-0304
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05176100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker