MR. ROBERT DAVID POLIN LCSW
NPI 1104964410
Social Worker - Clinical in Port Jefferson, NY

Active since February 01, 2007
646 MAIN ST, LOWER LEVEL, PORT JEFFERSON, NY 11777(631) 689-8862(631) 246-6492 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Robert David Polin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT DAVID POLIN LCSW (NPI 1104964410) is an individual clinical provider in Port Jefferson, New York, licensed in New York (R0233061) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104964410
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ROBERT DAVID POLINCredential: LCSW
Location Address646 MAIN ST, LOWER LEVELPort Jefferson, NY 11777
Mailing Address117 Gnarled Hollow RoadEast Setauket, NY 11733 · (631) 689-8862 · Fax (631) 246-6492
Fax(631) 246-6492
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104964410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · R0233061
Definition
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.
646 MAIN ST, Port Jefferson, NY 11777

Other Identifiers 1

Medicare ID-Type UnspecifiedN32151NY

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
646 MAIN ST, SUITE 201
PORT JEFFERSON, NY 11777
Social Worker
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist (Clinical Child & Adolescent)
646 MAIN ST
PORT JEFFERSON, NY 11777
Social Worker
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist (Clinical)
646 MAIN ST, 2ND FLOOR, SUITE 203
PORT JEFFERSON, NY 11777
Counselor (Mental Health)
646 MAIN ST
PORT JEFFERSON, NY 11777
Social Worker (Clinical)
646 MAIN ST
PORT JEFFERSON, NY 11777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Polin's NPI number?

The NPI number for Robert Polin is 1104964410. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Robert Polin located?

Robert Polin practices at 646 Main St Lower Level, Port Jefferson, NY 11777. The listed phone number is (631) 689-8862.

What is Robert Polin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Robert Polin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.