Individual provider · Type 1 NPI

James Polly, LCSW

Clinical Social Worker · Indianapolis, IN

NPI number 1336459429 Active

Practice location

1525 N Ritter Ave
Indianapolis, IN 46219-3026

Call (317) 359-5467 Map

Fax (317) 322-4095

Mailing address

6626 E 75th Street, Suite 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700X34007026A (IN)

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 1336459429

James Polly, LCSW's National Provider Identifier is 1336459429, issued on Oct 7, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 7, 2014.