MEDICARE: MS. JANELLE HOOVER-POLLOCK MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904013472	VA
2	1041C0700X	Clinical Social Worker	11597	SC
3	1041C0700X	Clinical Social Worker	C009653	NC
4	1041C0700X	Clinical Social Worker	33744	MD
5	1041C0700X	Clinical Social Worker	CW026959	PA
6	1041C0700X	Clinical Social Worker	LCSW-23426	AZ

General Provider Information

NPI Number	:	1538539903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANELLE HOOVER-POLLOCK MSW, LCSW

Provider Business Mailing Address
First Line	:	200 E 2ND AVE
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28052-4358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 BELT DR
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28056-9476
Country	:	US
Telephone Number	:	704-610-7703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2015
Last Update Date	:	04/06/2026

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