Individual provider · Type 1 NPI

Ziary Polanco

Clinical Social Worker · Providence, RI

NPI number 1508719774 Active

Practice location

164 Summit Ave
Providence, RI 02906-2894

Call (401) 793-2080 Map

Mailing address

404 Union Ave
Providence, RI 02909-4806

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW03229 (RI)

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 1508719774

Ziary Polanco's National Provider Identifier is 1508719774, issued on Feb 18, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Feb 18, 2026.