Organization · Type 2 NPI

Polyakov Psychotherapy LCSW PC

Clinical Social Worker · Paramus, NJ

NPI number 1275417792 Active

Practice location

511 Otto Pl
Paramus, NJ 07652-1817

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 1275417792

Polyakov Psychotherapy LCSW PC's National Provider Identifier is 1275417792, issued on Aug 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Paramus, NJ. The record was last updated on Aug 5, 2025.