Pollack, Wendy R

Pollack, Wendy R is an sole proprietor health care provider with primary practice located at 10 Brookside Ave #1B, Caldwell NJ 07006-5600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pollack, Wendy R can be contacted via phone (973) 714-2771.

Contact Information

Primary practice address
10 Brookside Ave #1B Caldwell NJ 07006-5600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05256300 New Jersey

Profile Details

NPI number 1902815236
LBN Legal business name Pollack, Wendy R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902815236 NPPES
New Jersey Other 11446618 CAQH

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