Individual provider · Type 1 NPI

Jason Alexander Polanco

Clinical Social Worker · Durham, NC

NPI number 1215874813 Active

Practice location

1301 Fayetteville St
Durham, NC 27707-2398

Call (919) 956-4059 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC020031 (NC)

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 1215874813

Jason Alexander Polanco's National Provider Identifier is 1215874813, issued on May 1, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on May 1, 2026.