MS. ELIZABETH JA CROTEAU POLAK (NPI# 1255466074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255466074 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH JA CROTEAU POLAK |
| Other Name | ELIZABETH JA CROTEAU |
| Credential | L.I.C.S.W. |
| Practice Address |
242 Woodland St West Boylston MA 01583-1670 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5088536221 |
| Practice Fax Number | 5088354859 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
114669 | MA | Behavioral Health & Social Service Providers |
| Street Address |
242 WOODLAND ST |
| City | WEST BOYLSTON |
| State | MA |
| Zip Code | 01583-1670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232129 | Rani Alexander | Family Medicine | 242 Woodland St, West Boylston, MA 01583-1670 | 2005-11-17 |
| 1801354717 | Jennifer Ann Bash | Nurse Practitioner | 242 Woodland St, West Boylston, MA 01583-1670 | 2019-03-10 |
| 1245693738 | Leah Rothstein | Family Medicine | 242 Woodland St, West Boylston, MA 01583 | 2016-04-01 |
| 1730409335 | Timothy Patrick Hogan | Internal Medicine | 242 Woodland St, West Boylston, MA 01583-1670 | 2010-06-04 |
| 1174783526 | Amy R Lo | Internal Medicine | 242 Woodland St, West Boylston, MA 01583-1657 | 2008-06-10 |
| 1689720526 | Michele A Montague | Nurse Practitioner | 242 Woodland St, West Boylston, MA 01583-1657 | 2007-01-25 |
| 1437165586 | Bassem G Hanna | Family Medicine | 242 Woodland St, West Boylston, MA 01583-1670 | 2006-07-31 |
| 1932156627 | Janet C Abrahamian | Family Medicine | 242 Woodland St, West Boylston, MA 01583-1670 | 2006-05-28 |
| 1538120134 | Christina A Howe | Nurse Practitioner | 242 Woodland St, West Boylston, MA 01583-1657 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287361 | Sandra D Roy | Social Worker | 52 Winthrop Street, West Boylston, MA 01583 | 2018-09-03 |
| 1972753838 | Umarani Thamaraichelvan | Pathology | Salter School, 184 West Boylston, Boston, MA 01583 | 2008-09-26 |
| 1558412643 | Robyn Leigh Ernst | Counselor | Pediatric Behavioral Health, 148 Worcester St., West Boylston, MA 01583 | 2007-01-15 |
| 1942358650 | Jeffrey Satnick | Family Medicine | 45 Sterling Street, Suite 7, West Boylston, MA 01583 | 2007-01-08 |
| 1508187568 | Dr.jeffrey P Satnick Md PC | General Practice | 45 Sterling Street, Suite 7, West Boylston, MA 01583 | 2010-06-14 |
| 1780700385 | Town of West Boylston | Local Education Agency (LEA) | 125 Crescent St, West Boylston, MA 01583-1030 | 2007-03-22 |
| 1750395687 | Christos George Kirusis | Dentist | 1 Prescott St, West Boylston, MA 01583-1103 | 2006-07-28 |
| 1750522355 | Christos G. Kirusis, Dmd., PC. | Dentist | 1 Prescott St, West Boylston, MA 01583-1103 | 2009-03-12 |
| 1649815705 | Mayara Neto | Physician Assistant | 24 Winthrop St, West Boylston, MA 01583-1112 | 2019-11-13 |
| 1972599124 | West Boylston Nursing Home Inc | Skilled Nursing Facility | 76 N Main Street, West Boylston, MA 01583-1130 | 2005-09-23 |
| Find all providers in zip 01583 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287361 | Sandra D Roy | Social Worker | 52 Winthrop Street, West Boylston, MA 01583 | 2018-09-03 |
| 1578631586 | Barbara Mae Nordstrom | Social Worker | 21 Angell Brook Dr, West Boylston, MA 01583-2117 | 2006-11-30 |
| 1407110067 | Mind Matters Therapy, LLC | Social Worker | 354 W Boylston St, Suite 225, West Boylston, MA 01583-2373 | 2012-06-28 |
| 1720218969 | Anita Amante | Social Worker | 47 Prospect St, West Boylston, MA 01583-1301 | 2009-07-22 |
| 1730315284 | Tessa Hayes | Social Worker | 148 Worcester St, West Boylston, MA 01583-1751 | 2009-06-10 |
| 1811172265 | Patricia M Carey | Social Worker | 45 Sterling St, Suite 4, West Boylston, MA 01583-1200 | 2008-01-04 |
| 1992985675 | Heather Marie Kerr | Social Worker | 148 Worcester St, West Boylston, MA 01583-1751 | 2007-11-09 |
| 1952423055 | Katherine Cox Hookway | Social Worker | 45 Sterling St, Suite 29, West Boylston, MA 01583-1200 | 2007-04-06 |
| 1164569653 | Dawn Marie Hartnett | Social Worker | 148 Worcester St, West Boylston, MA 01583-1751 | 2007-01-31 |
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| Find all providers with the same taxonomy | ||||
| City | WEST BOYLSTON |
| Zip Code | 01583 |
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| 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.