POLLY JANETTE ROBERTSON (NPI# 1871641217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871641217 |
| Entity Type | Individual |
| Full Name | POLLY JANETTE ROBERTSON |
| Credential | LCSW |
| Practice Address |
1200 N Bishop St San Marcos TX 78666-2706 |
| Mailing Address |
819 Water St Suite 300 Kerrville TX 78028-5333 |
| Practice Telephone | 5123927151 |
| Practice Fax Number | 5123925444 |
| Mailing Telephone | 8307923300 |
| Mailing Fax Number | 8307925771 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
37741 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LCSW LICENSE | 37741 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188429 | Polly Edna Robertson | Technician | 297 Orchard Street, Fort Gay, WV 25514 | 2020-09-09 |
| Street Address |
1200 N BISHOP ST |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215964390 | Clay Whitten Ross | Psychiatry & Neurology | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2006-06-26 |
| 1255588141 | Mary Beth Magovsky | Registered Nurse | 1200 N Bishop St, Suite 200, San Marcos, TX 78666-2706 | 2008-08-21 |
| 1619145828 | Laurie Enis Paxson | Counselor | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2008-02-11 |
| 1528116985 | Ellis Morgan Craig | Psychologist | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2007-01-08 |
| 1992885628 | George William Race | Psychiatry & Neurology | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2006-10-17 |
| 1881774800 | Janine Lee Goldstein | Psychiatry & Neurology | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2006-10-16 |
| 1740360684 | Patricia Carol White | Social Worker | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2006-10-16 |
| 1902986813 | Beverly Ann Plaisance | Registered Nurse | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2006-10-16 |
| 1023106978 | Anne T Taylor | Counselor | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2006-10-10 |
| 1306931845 | Robert L Ward | Psychiatry & Neurology | 1200 N Bishop St, San Marcos, TX 78666-2706 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| 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 |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1487281101 | Michelle Canales Santiago | Social Worker | 464 Camino Verde, San Marcos, CA 92078-8906 | 2020-03-24 |
| 1821629262 | Michael Branch | Social Worker | 1 Civic Center Dr Ste 150, San Marcos, CA 92069-2934 | 2020-02-03 |
| 1417596750 | Ashley Richey | Social Worker | 136 E San Antonio St Ste 107, San Marcos, TX 78666-5509 | 2020-01-03 |
| 1942859608 | Kathryn Mclennan | Social Worker | 2003 Medical Parkway, Suite C, San Marcos, TX 78666-7554 | 2019-09-05 |
| 1639535149 | Tonya Shankle | Social Worker | 2001 Medical Pkwy Ste D, San Marcos, TX 78666-7581 | 2016-01-13 |
| 1912385923 | Abel Rodriguez | Social Worker | 136 E. San Antonio Suite 106, San Marcos, TX 78666 | 2015-05-11 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1568704807 | Michelle Marie Colarusso | Social Worker | 1132 San Marino Drive, Suite 209, San Marcos, CA 92078-4600 | 2013-03-25 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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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.