Individual provider · Type 1 NPI

Connie Jean Pollock, L, I.S.W.

Clinical Social Worker · Dayton, OH

NPI number 1205817541 Active

Practice location

4710 Old Troy Pike
Dayton, OH 45424-5740

Call (937) 233-1230 Map

Fax (937) 236-8930

Mailing address

2197 Kyle Ln
Fairborn, OH 45324-6418

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-0007011 (OH)

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 1205817541

Connie Jean Pollock, L, I.S.W.'s National Provider Identifier is 1205817541, issued on Nov 11, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayton, OH. The record was last updated on Jul 13, 2026.