Provider Demographics
NPI:1003604794
Name:KOVACH, PAULINA (LSW)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:KOVACH
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:POLLY
Other - Middle Name:
Other - Last Name:KOVACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20617 WILDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-5726
Mailing Address - Country:US
Mailing Address - Phone:440-228-9096
Mailing Address - Fax:
Practice Address - Street 1:20617 WILDWOOD LN
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-5726
Practice Address - Country:US
Practice Address - Phone:440-228-9096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical