Active NPIIndividual providerSole proprietor

Mrs. Amy Polanco, LICSW

Social Worker, Clinical in Cumberland, Rhode Island

NPI Number1316294366
Practice location
9 Beachwood Dr, Cumberland, RI 02864-6421
Fax
—
Last updated
July 5, 2024

Amy Polanco is a Social Worker, Clinical based in Cumberland, RI. Amy Polanco practices in Cumberland, RI and has the professional credentials of LICSW. The NPI Number for Amy Polanco is 1316294366 and holds a License No. LICSW128113 (MA). The current practice location address for Amy Polanco is 9 Beachwood Dr, Cumberland, RI 02864-6421 and can be reached out via phone at 401-477-9748.

Provider Profile Details

NPI Number
1316294366
Provider Name
Amy Polanco
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
9 Beachwood Dr, Cumberland, RI 02864-6421
Phone Number
401-477-9748
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2012
Last Update Date
July 5, 2024
Certification Date
January 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Beachwood Dr
Cumberland, RI 02864-6421
Zip
02864-6421
Phone Number
401-477-9748
Cumberland, RI 02864Get directions →

Provider Business Mailing Address Details

Address
9 Beachwood Dr
Cumberland, RI 02864-6421
City
Cumberland
State
RI
Zip
02864-6421

License Information

License Number (1)
LICSW128113
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
ISW02555
License State (2)
RI
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Amy Polanco, LICSW?

The NPI number of Mrs. Amy Polanco, LICSW is 1316294366. It was assigned on August 9, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amy Polanco, LICSW?

Mrs. Amy Polanco, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW128113.

Where does Mrs. Amy Polanco, LICSW practice?

The practice location is 9 Beachwood Dr, Cumberland, RI 02864-6421. The office can be reached at 401-477-9748 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316294366 directly on the NPPES registry website.

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