Provider Demographics
NPI:1245704840
Name:POLLARD, GILLIAN (MSW)
Entity type:Individual
Prefix:MS
First Name:GILLIAN
Middle Name:
Last Name:POLLARD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:GILLIAN
Other - Middle Name:
Other - Last Name:POLLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:157 GRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-2866
Mailing Address - Country:US
Mailing Address - Phone:718-963-3955
Mailing Address - Fax:718-782-6690
Practice Address - Street 1:157 GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2866
Practice Address - Country:US
Practice Address - Phone:718-963-3955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No253Z00000XAgenciesIn Home Supportive Care