Individual provider · Type 1 NPI

Kevin M. Polky, LCSW

Clinical Social Worker · Rockford, IL

NPI number 1902094469 Active

Practice location

461 N Mulford Rd, Condo #1
Rockford, IL 61107-5190

Call (815) 395-1141 Map

Fax (815) 395-1117

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 1902094469

Kevin M. Polky, LCSW's National Provider Identifier is 1902094469, issued on Oct 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Oct 10, 2007.