MR. JEFFREY L POLLACK (NPI# 1316381346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316381346 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY L POLLACK |
| Credential | LCSW |
| Practice Address |
822 Dunlop Ave Forest Park IL 60130-2037 |
| Mailing Address |
1725 S Naperville Rd Suite 206 Wheaton IL 60189-5855 |
| Practice Telephone | 7734265578 |
| Mailing Telephone | 6306536441 |
| Mailing Fax Number | 6306538409 |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2013-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149005603 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336177054 | Jeffrey Stuart Pollack | Internal Medicine | 6044 Harding Hwy, Mays Landing, NJ 08330-1530 | 2006-06-29 |
| Street Address |
822 DUNLOP AVE |
| City | FOREST PARK |
| State | IL |
| Zip Code | 60130-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
| 1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
| 1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
| 1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
| 1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
| Find all providers in zip 60130 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1588211775 | Therese Gottfreid Fletcher | Social Worker | 140 Marengo Ave, Forest Park, IL 60130-1379 | 2019-08-22 |
| 1033765326 | Jason Maurice Burnett | Social Worker | 1029 Des Plaines Ave Apt 404, Forest Park, IL 60130-2146 | 2019-08-13 |
| 1548616667 | Niambi Vantress | Social Worker | 5418 Lee Cir, Forest Park, GA 30297-2731 | 2016-05-07 |
| 1326410432 | Matthew Braden Chmiel | Social Worker | 943 Hannah Ave, Forest Park, IL 60130-2309 | 2015-10-28 |
| 1255758231 | Janet Ogle | Social Worker | 8300 Roosevelt Rd, Forest Park, IL 60130-2530 | 2014-03-27 |
| 1295164093 | Marco Formigoni | Social Worker | 246 Elgin Ave, Forest Park, IL 60130-1306 | 2013-11-02 |
| 1366766784 | Rhonda Meacham | Social Worker | 7355 Madison St, Suite A, Forest Park, IL 60130-1561 | 2010-03-15 |
| 1700043262 | Beth Fischer | Social Worker | 320 Marengo Ave, Forest Park, IL 60130-1604 | 2008-05-21 |
| 1912054826 | Susan M Buss | Social Worker | 7326 Harrison St, Suite 2a, Forest Park, IL 60130-2017 | 2007-01-04 |
| Find all providers in FOREST PARK | ||||
| City | FOREST PARK |
| Zip Code | 60130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.