Matylda Fanny Polkowski
Social Worker (Clinical)

Address: 435 Marlborough St Apt 1, Boston, MA 02115-1223
Phone: 6178331362

Matylda Fanny Polkowski (NPI# 1154976843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1154976843
Entity Type Individual
Full Name Matylda Fanny Polkowski
Credential LICSW
Gender Female
Practice Address 435 Marlborough St Apt 1
MA 02115-1223
Practice Telephone 6178331362
Mailing Address 435 Marlborough St Apt 1
MA 02115-1223
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-08-08
Last Update Date 2019-08-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers MA

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Office Location

Street Address 435 MARLBOROUGH ST APT 1
State MA
Zip Code 02115-1223

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073164166 Natalie Eng Physician Assistant 150 Huntington Ave Apt Nl3, Boston, MA 02115 2019-09-20
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1033762414 Tejasvita Chandel Student in an Organized Health Care Education/Training Program Harvard Dental School of Medicine, 188 Longwood Avenue, Boston, MA 02115 2019-07-24
1104479831 Riddhi H Badamia Dentist Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, 188 Longwood Ave, Boston, MA 02115 2019-07-22
1144881160 Pierre-olivier Grenier Dermatology 300 Longwood Avenue, Boston, MA 02115 2019-06-21
1134786171 Bryan Adam Glezerson Student in an Organized Health Care Education/Training Program Department of Anesthesiology - Bwh, 75 Francis Street, Boston, MA 02115 2019-05-24
1447712401 Patric William Gibbons Student in an Organized Health Care Education/Training Program 75 Francis Street, Neville House 2nd Floor, Boston, MA 02115 2019-04-01
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Zip Code 02115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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