Provider Demographics
NPI:1821751371
Name:POLLACK, ZALMAN (LLMSW)
Entity Type:Individual
Prefix:
First Name:ZALMAN
Middle Name:
Last Name:POLLACK
Suffix:
Gender:M
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15638 JEANETTE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2103
Mailing Address - Country:US
Mailing Address - Phone:248-470-8177
Mailing Address - Fax:
Practice Address - Street 1:32841 MIDDLEBELT RD STE 403
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1714
Practice Address - Country:US
Practice Address - Phone:248-470-8177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511111601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical