ELLEN CHRISTINE POLAK LCSW
NPI 1508618547
Social Worker - Clinical in Indianapolis, IN

Q: What is Ellen Polak's NPI number?

The NPI number for Ellen Polak is 1508618547. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Q: What is Ellen Polak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellen Polak was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 03, 2024PECOS EnrolledAccepts Medicare Assignment

8102 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256(317) 957-9936 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ellen Christine Polak Lcsw NPPES

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

ELLEN CHRISTINE POLAK LCSW (NPI 1508618547) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34011076A) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Fairbanks, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508618547

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELLEN CHRISTINE POLAKCredential: LCSW

Location Address8102 CLEARVISTA PKWYIndianapolis, IN 46256-1661

Mailing Address6585 Discovery Dr SIndianapolis, IN 46250-3457 · (317) 213-1694

Phone(317) 957-9936

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 3, 2024

NPPES CertifiedApril 3, 2024

✔ NPI 1508618547 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 IN · 34011076A

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.

8102 CLEARVISTA PKWY, Indianapolis, IN 46256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ellen Christine Polak Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284074667

PECOS Enrollment IDI20240502000834

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairbanks

Acute Care Hospitals · Indianapolis, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150179

Location8102 Clearvista ParkwayIndianapolis, IN 46256 · Marion County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

NATHANIEL SPAULDING

Counselor (Addiction (Substance Use Disorder))