SUSAN POLLACK LCSW
NPI 1316484215
Social Worker in San Rafael, CA

Q: What is Susan Pollack's NPI number?

The NPI number for Susan Pollack is 1316484215. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Q: What is Susan Pollack's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Susan Pollack enrolled in Medicare?

No. Susan Pollack has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susan Pollack was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 30, 2017Opted out of Medicare · through Jan 18, 2028

171 CARLOS DR, SAN RAFAEL, CA 94903(415) 755-2385 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan Pollack Lcsw NPPES

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

SUSAN POLLACK LCSW (NPI 1316484215) is an individual social worker in San Rafael, California, licensed in California (LCSW68090) and active in the NPI registry since January 2017. She has opted out of Medicare through January 18, 2028.

NPPES Registry Identity

NPI1316484215

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSUSAN POLLACKCredential: LCSW

Location Address171 CARLOS DRSan Rafael, CA 94903-2005

Mailing Address413 Ash StMill Valley, CA 94941-3967

Phone(415) 755-2385

Sole ProprietorNo

Enumeration DateJanuary 30, 2017

✔ NPI 1316484215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · LCSW68090

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

171 CARLOS DR, San Rafael, CA 94903

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Pollack Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 18, 2024 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2024

Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 17

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

MS. ANNELI KIM RICHARDS MS

Counselor (Mental Health)

171 CARLOS DR, BAY AREA COMMUNITY RESOURCES
SAN RAFAEL, CA 94903

Marin County (415) 444-5580

MR. GARY FEDOROFF

Counselor (Addiction (Substance Use Disorder))