Provider Demographics
NPI:1770354995
Name:POLSKY, MEREDITH (LCSW-C)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:POLSKY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 JEFFERSON PLZ STE 420
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1179
Mailing Address - Country:US
Mailing Address - Phone:240-994-8917
Mailing Address - Fax:
Practice Address - Street 1:600 JEFFERSON PLZ STE 420
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1179
Practice Address - Country:US
Practice Address - Phone:240-994-8917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040160321041C0700X
MD184831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical