Connie G Polovina
Clinical Social Worker
1201 Pemberton Dr Ste 1c
Salisbury
, Maryland 21801-2401
Connie G Polovina
Clinical Social Worker
1201 Pemberton Dr Ste 1c
Salisbury
, Maryland 21801-2401
(443) 944-8252
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Connie G Polovina
- 1201 Pemberton Dr Ste 1c
- Salisbury, MD
- Zip : 21801-2401
- Fax : (443) 944-8252
- Phone : (410) 845-1645
Second Address
- Connie G Polovina
- 1201 Pemberton Dr Ste 1c
- Salisbury, MD
- Zip : 21801-2401
- Fax : (443) 944-8252
- Phone : (410) 845-1645
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 16064 | MD |
National Provider Identifier
| NPI | 1003146739 |
|---|---|
| Provider Name | Connie G Polovina |
| First Address | Salisbury, MD 21801-2401 |
| Second Address | Salisbury, MD 21801-2401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2009 |
| Last Update Date | 05/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.