MEDICARE: MS. JOAN F POLLAK 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	CW000489L	PA

General Provider Information

NPI Number	:	1538135710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOAN F POLLAK LCSW

Provider Business Mailing Address
First Line	:	540 HAMILTON RD.
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1125
Country	:	US
Telephone Number	:	610-724-2829
Fax Number	:	610-617-3507

Provider Business Practice Location Address
First Line	:	540 HAMILTON RD.
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1125
Country	:	US
Telephone Number	:	610-724-2829
Fax Number	:	610-617-3507

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	01/06/2022

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