CARLY POLLOCK (NPI# 1912556408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912556408 |
| Entity Type | Individual |
| Full Name | CARLY POLLOCK |
| Other Name | CARLY RUSSELL |
| Practice Address |
3251 W 9th St Waterloo IA 50702-5310 |
| Practice Telephone | 3192342893 |
| Mailing Telephone | 3192342893 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
093777 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0074435 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386115863 | Carly Cecilia Pollock | Occupational Therapist | 9355 4th St N, St Petersburg, FL 33702-3133 | 2018-12-10 |
| Street Address |
3251 W 9TH ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944598 | Black Hawk-grundy Mental Health Center Inc. | Clinic/Center | 3251 W 9th St, Waterloo, IA 50702-5310 | 2005-07-05 |
| 1194334813 | Samuel Rasmussen | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2020-07-28 |
| 1528605367 | Jennifer Elisabeth Meether | Psychiatry & Neurology | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-11-27 |
| 1972153278 | Erika Bandilla | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-09-18 |
| 1164075313 | Kelsey Ostendorf | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-07-17 |
| 1891357117 | Kelsey Elfritz | Counselor | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-07-08 |
| 1649839481 | Deanna Shafer | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-06-06 |
| 1750845954 | Stephanie Anne Giesler | Student in an Organized Health Care Education/Training Program | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-01-22 |
| 1225506066 | Renee Barbu | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2018-11-09 |
| 1639659071 | Katie Elizabeth Eastman | Social Worker | 3251 W 9th St, Waterloo, IA 50702-5310 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447982 | Human Support Services | Counselor | 228 Bradford Ln Ste 2, Waterloo, IL 62298-3270 | 2019-09-20 |
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1316462682 | Samarah Greeves | Counselor | 3261 University Ave, Waterloo, IA 50701-2051 | 2017-08-08 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1427487537 | Tania Doverspike | Counselor | 3 Thurber Dr, Waterloo, NY 13165-9454 | 2013-11-08 |
| 1851728570 | Human Support Services | Counselor | 228 Bradford Ln, Apartment 5, Waterloo, IL 62298-3270 | 2013-09-27 |
| 1437586112 | Human Support Services | Counselor | 224 N Main St Rear, Waterloo, IL 62298-1264 | 2013-09-26 |
| 1770838997 | Lezli Mantzaris | Counselor | 1314 S 258th St, Waterloo, NE 68069-4814 | 2012-07-14 |
| Find all providers in WATERLOO | ||||
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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.