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MR. POLO JEAN-LOUIS LCSW
NPI 1649436908
Social Worker - Clinical in Gorham, ME

Active since August 05, 2008
612 GRAY RD, GORHAM, ME 04038(207) 200-7050(207) 893-1865 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Polo Jean-louis Lcsw NPPES

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

MR. POLO JEAN-LOUIS LCSW (NPI 1649436908) is an individual clinical provider in Gorham, Maine, licensed in Maine (LC13459) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1649436908
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. POLO JEAN-LOUISCredential: LCSW
Location Address612 GRAY RDGorham, ME 04038-5808
Mailing Address612 Gray RdGorham, ME 04038-5808 · (207) 200-7050 · Fax (207) 893-1865
Phone(207) 200-7050
Fax(207) 893-1865
Sole ProprietorYes
Enumeration DateAugust 5, 2008
Last NPPES UpdateMay 22, 2012
✔ NPI 1649436908 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 ME · LC13459
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.
612 GRAY RD, Gorham, ME 04038
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Other Names 1

Other Name (5)Mr. Poloberg Jean-louis Lcsw

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 Polo Jean-louis's NPI number?

The NPI number for Polo Jean-louis is 1649436908. It was assigned to this individual provider in the NPPES registry on August 5, 2008. The provider is also known as Mr. Poloberg Jean-Louis Lcsw.

Where is Polo Jean-louis located?

Polo Jean-louis practices at 612 Gray Rd, Gorham, ME 04038. The listed phone number is (207) 200-7050.

What is Polo Jean-louis'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 Polo Jean-louis was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.