Individual provider · Type 1 NPI

Gisele Polanco, LCSW

Clinical Social Worker · Providence, RI

NPI number 1679709307 Active

Practice location

544 Elmwood Ave
Providence, RI 02907-1820

Fax (401) 781-2828

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 1679709307

Gisele Polanco, LCSW's National Provider Identifier is 1679709307, issued on Jun 9, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on May 16, 2014.