Individual provider · Type 1 NPI

Jessalyn Henriquez Polanco, MSW, LMSW

Clinical Social Worker · Bronx, NY

NPI number 1710872833 Active

Practice location

579 Courtlandt Ave
Bronx, NY 10451-5013

Call (718) 485-2100 Map

Mailing address

597 E 164th St
Bronx, NY 10456-6801

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 1710872833

Jessalyn Henriquez Polanco, MSW, LMSW's National Provider Identifier is 1710872833, issued on Jun 10, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Jun 10, 2025.