MEDICARE: LOUISE POLZEL 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	13042-C	NV
2	1041C0700X	Clinical Social Worker	94670	CA
3	1041C0700X	Clinical Social Worker	13401073-3501	UT

General Provider Information

NPI Number	:	1134649106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISE POLZEL LCSW

Provider Business Mailing Address
First Line	:	1553 BLUE SIERRA CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-2966
Country	:	US
Telephone Number	:	951-946-1106
Fax Number	:

Provider Business Practice Location Address
First Line	:	1553 BLUE SIERRA CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-2966
Country	:	US
Telephone Number	:	951-946-1106
Fax Number	:

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

Provider Enumeration Date	:	06/21/2017
Last Update Date	:	05/04/2026

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Directions to “ LOUISE POLZEL LCSW” Practice Location

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