ELLAJEAN POLK


Address: 852 Ave D, San Francisco, CA 94130
Phone: 4159707515

ELLAJEAN POLK (NPI# 1750750295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750750295
Entity Type Individual
Full Name ELLAJEAN POLK
Practice Address 852 Ave D
San Francisco
CA 94130
Mailing Address 852 Avenue D
San Francisco
CA 94130-2002
Practice Telephone 4159707515
Mailing Telephone 4159707515
Enumeration Date 2015-09-15
Last Update Date 2015-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 852 AVE D
City SAN FRANCISCO
State CA
Zip Code 94130

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528183183 Kristopher David Mcghee Technician, Other Cg Sector San Francisco, Bldg 1, Yerba Buena Island, San Francisco, CA 94130 2007-03-20
1891302683 Carol Clarke Jones Technician, Other 1 Hillcrest Rd, Quarters B, San Fransisco, CA 94130 2020-09-25
1508966490 Kyi Win Internal Medicine 1490 Mason St, San Francisco, CA 94130 2006-09-22
1053697540 Tylisha Berry Counselor 1254 13th St Unit B, San Francisco, CA 94130-1005 2011-10-27
1033385562 Jill M Massaro Counselor 1254 13th St, Apartment B, San Francisco, CA 94130-1005 2008-05-05
1659646685 Home Health Ect Foster Care Agency 1226 Bayside Dr Unit F, Unit F, San Francisco, CA 94130-1121 2012-03-08
1336490358 Daniel Horowitz Counselor 1212 Mariner Dr Unit E, San Francisco, CA 94130-1205 2012-10-01
1265070767 Healthright 360 Clinic/Center 1202 Mariner Dr, San Francisco, CA 94130-1210 2019-12-16
1083224604 Vilma Rizzo Community Health Worker 1318 Gateview Ave, San Francisco, CA 94130-1418 2020-08-07
1467829374 Healthright 360 Substance Abuse Rehabilitation Facility 1318 Gateview Ave # Ti, San Francisco, CA 94130-1418 2015-08-26
Find all providers in zip 94130

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972104628 Ann Egan Counselor 207 Cole St, San Francisco, CA 94117-1915 2020-11-07
1326654518 Mina Dailami Counselor 45 Adair St Apt A, San Francisco, CA 94103-3699 2020-09-22
1538773841 Samantha Santamaria Counselor 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 2020-09-03
1659980076 Claire Katherine Sheeran Counselor 1275 34th Ave, San Francisco, CA 94122-1306 2020-07-31
1104434331 Archana Chatkara Thomas Counselor 974 Pine St Apt 9, San Francisco, CA 94108-2928 2020-07-14
1790306157 Katherine Rose Kaffka Counselor 995 Potrero Ave # 220, San Francisco, CA 94110-2859 2020-04-27
1265073811 Matthew Charles Paden Counselor 1801 Vicente St San Francisco, San Francisco, CA 94116-2923 2019-10-04
1801442140 Danielle Sawicki Counselor 4355 Geary Blvd, San Francisco, CA 94118-3003 2019-08-13
1417501347 Kimberly Shadean Wedderburn Counselor 2200 Hayes St Fl 3, San Francisco, CA 94117-1013 2019-07-29
1740847250 Caroline Elson Counselor 1440 Steiner St Apt 3, San Francisco, CA 94115-4128 2019-05-21
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94130

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Dataset Information

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.

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