NICHOLAS DAVID POLOVITZ LGSW
NPI 1184393589
Social Worker - Clinical in Duluth, MN

Active since September 09, 2021PECOS Enrolled
502 E 2ND ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas David Polovitz Lgsw NPPES

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

NICHOLAS DAVID POLOVITZ LGSW (NPI 1184393589) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (30145) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184393589
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNICHOLAS DAVID POLOVITZCredential: LGSW
Location Address502 E 2ND STDuluth, MN 55805-1913
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
NPI 1184393589 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 MN · 30145
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.
502 E 2ND ST, Duluth, MN 55805

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicholas David Polovitz Lgsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
502 E 2ND ST
DULUTH, MN 55805
Pharmacist
502 E 2ND ST
DULUTH, MN 55805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
502 E 2ND ST
DULUTH, MN 55805
General Acute Care Hospital
502 E 2ND ST
DULUTH, MN 55805
Psychologist
502 E 2ND ST
DULUTH, MN 55805
Physical Therapist
502 E 2ND ST
DULUTH, MN 55805
Speech-Language Pathologist
502 E 2ND ST
DULUTH, MN 55805
Psychiatry & Neurology (Psychiatry)
502 E 2ND ST
DULUTH, MN 55805

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 Nicholas Polovitz's NPI number?

The NPI number for Nicholas Polovitz is 1184393589. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Nicholas Polovitz located?

Nicholas Polovitz practices at 502 E 2nd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Nicholas Polovitz's specialty?

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

Is Nicholas Polovitz enrolled in Medicare?

Yes. Nicholas Polovitz is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Polovitz accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Sanford Health Plan and Security Health Plan list Nicholas Polovitz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Polovitz was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.