WHITNEY ALYSE POLICH LICSW
NPI 1508589151
Social Worker - Clinical in Medford, MA

Active since September 20, 2022Opted out of Medicare · through Mar 2, 2028
26 CITY HALL MALL, MEDFORD, MA 02155(781) 306-5463 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Whitney Alyse Polich Licsw NPPES

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

WHITNEY ALYSE POLICH LICSW (NPI 1508589151) is an individual clinical provider in Medford, Massachusetts, licensed in Massachusetts (LICSW1120947) and active in the NPI registry since September 2022. She has opted out of Medicare through March 2, 2028 and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508589151
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameWHITNEY ALYSE POLICHCredential: LICSW
Location Address26 CITY HALL MALLMedford, MA 02155-4754
Mailing Address26 City Hall MallMedford, MA 02155-4754 · (781) 306-5463
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 20, 2022
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
NPI 1508589151 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 MA · LICSW1120947
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.
26 CITY HALL MALL, Medford, MA 02155

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Whitney Alyse Polich Licsw 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 March 2, 2026 through March 2, 2028.

Opt-Out Effective DateMarch 2, 2026
Opt-Out In Effect ThroughMarch 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Speech-Language Pathologist
26 CITY HALL MALL
MEDFORD, MA 02155
Nurse Practitioner (Adult Health)
26 CITY HALL MALL
MEDFORD, MA 02155
Pediatrics
26 CITY HALL MALL
MEDFORD, MA 02155
Nurse Practitioner (Family)
26 CITY HALL MALL
MEDFORD, MA 02155
Psychologist (Clinical)
26 CITY HALL MALL
MEDFORD, MA 02155
Dietitian, Registered
26 CITY HALL MALL
MEDFORD, MA 02155
Obstetrics & Gynecology
26 CITY HALL MALL
MEDFORD, MA 02155
Nurse Practitioner (Women's Health)
26 CITY HALL MALL
MEDFORD, MA 02155

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 Whitney Polich's NPI number?

The NPI number for Whitney Polich is 1508589151. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Whitney Polich located?

Whitney Polich practices at 26 City Hall Mall, Medford, MA 02155. The listed phone number is (781) 306-5463.

What is Whitney Polich's specialty?

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

Is Whitney Polich enrolled in Medicare?

No. Whitney Polich has opted out of Medicare through March 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Whitney Polich accept?

Health plans from Anthem Blue Cross and Blue Shield list Whitney Polich 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 Whitney Polich was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.