Individual provider · Type 1 NPI

Elizabeth Ja Croteau Polak, L.I.C.S.W.

Clinical Social Worker · West Boylston, MA

NPI number 1255466074 Active

Practice location

242 Woodland St
West Boylston, MA 01583-1670

Fax (508) 835-4859

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X114669 (MA)

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 1255466074

Elizabeth Ja Croteau Polak, L.I.C.S.W.'s National Provider Identifier is 1255466074, issued on Feb 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Boylston, MA. The record was last updated on Jan 25, 2017.