Individual provider · Type 1 NPI

Carly Pollack

Clinical Social Worker · Fort Collins, CO

NPI number 1073107520 Active · reactivated Apr 24, 2023

Practice location

2260 W Trilby Rd
Fort Collins, CO 80526-9650

Call (970) 494-4200 Map

Mailing address

4856 Innovation Dr
Fort Collins, CO 80525-5539

Other practice locations

  • 390 40th St, Oakland, CA 94609-2633 · (510) 613-0330

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1073107520

Carly Pollack's National Provider Identifier is 1073107520, issued on Feb 25, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 13, 2026.