Tyler James Pollack in Plymouth - Clinical

Tyler James Pollack - NPI 1013981158

Tyler James Pollack is a Clinical in Plymouth, Michigan. Tyler James Pollack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tyler James Pollack is 1013981158. The last update date is 2008-05-02.

Tyler James Pollack's current location address is 34 N Main St, Plymouth, Michigan. You can contact this provider via phone number 7345463833. The mailing address for Tyler James Pollack is 34 N Main St, Plymouth, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tyler James Pollack
Address 34 N Main St, Plymouth, Michigan
Phone Number 7345463833
Fax Number
Sole Proprietor N
Credentials LMSW

NPI Number Detail

NPI Number 1013981158
Provider Enumeration Date 2006-02-15
Last Updated Date 2008-05-02

Provider Mailing Address Detail

Address 34 N Main St
City Plymouth
State Michigan (MI)
Post Code 481701272
Phone Number 7345463833
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801084492
Definition:
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, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6801084492 MI LMSW STATE LICENSE

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FAQs about Tyler James Pollack

What is the unique 10-digit identification code issued to Tyler James Pollack by the Centers for Medicare & Medicaid Services?

The Tyler James Pollack has been assigned the NPI (National Provider Identifier) 1013981158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Tyler James Pollack's facilities are situated?

The facilities of Tyler James Pollack are physically located at the following address: 34 N Main St, Plymouth, MI, 481701272.

What is the area of specialization for Tyler James Pollack, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tyler James Pollack is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Tyler James Pollack receive its 1013981158 assignment from the Centers for Medicare & Medicaid Services?

The Tyler James Pollack was assigned its 1013981158 by the Centers for Medicare & Medicaid Services on 2006-02-15.

As of what date were the details pertaining to Tyler James Pollack last refreshed?

The information related to the Tyler James Pollack, including its address, specialty, and other relevant details, was last updated on 2008-05-02.

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