MS. MARY DENNISE POLLYEA, LCSW - NPI NUMBER 1831359587

Summary

Provider Name: MS. MARY DENNISE POLLYEA, LCSW

NPI Number: 1831359587

Clasification: Social Worker (1041C0700X)

Specialization: Clinical

Organization: NORTH ARKANSAS REGIONAL MEDICAL CENTER

Address:
105 RED OAK LANE
JASPER, AR
ZIP 72641

Phone Number: (870) 446-6449



Detailed Information

MS. Mary Dennise Pollyea, LCSW is a clinical social worker in Jasper, AR with 21 years of experience. The provider is 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. The assigned NPI number for this provider is 1831359587 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

105 RED OAK LANE
JASPER, AR
ZIP 72641
Phone: (870) 446-6449

The enumeration date for this NPI number is 6/16/2008 and was last updated on 6/16/2008.

Map - Location of Practice





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1041C0700X Social Worker Clinical 3779 LA No
2 1041C0700X Social Worker Clinical 2220C AR Yes

NPI Record

No. Field Name Field Value
1 NPI 1831359587
2 Entity Type Code 1
3 Provider Last Name Legal Name POLLYEA
4 Provider First Name MARY
5 Provider Middle Name DENNISE
6 Provider Name Prefix Text MS.
7 Provider Credential Text LCSW
8 Provider First Line Business Practice Location Address 105 RED OAK LANE
9 Provider Business Practice Location Address City Name JASPER
10 Provider Business Practice Location Address State Name AR
11 Provider Business Practice Location Address Postal Code 72641
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8704466449
14 Provider Enumeration Date 6/16/2008
15 Last Update Date 6/16/2008
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 1041C0700X
18 Provider License Number 1 3779
19 Provider License Number State Code 1 LA
20 Healthcare Provider Primary Taxonomy Switch 1 N
21 Healthcare Provider Taxonomy Code 2 1041C0700X
22 Provider License Number 2 2220C
23 Provider License Number State Code 2 AR
24 Healthcare Provider Primary Taxonomy Switch 2 Y
25 Is Sole Proprietor Y

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This page was last updated on: 12/10/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.