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MARVIN LOUIS POLSTRA LCSW
NPI 1770131229
Social Worker - Clinical in Indianapolis, IN

Active since August 28, 2019
3505 WASHINGTON BLVD, INDIANAPOLIS, IN 46205(317) 920-5900(317) 920-5911 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marvin Louis Polstra Lcsw NPPES

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

MARVIN LOUIS POLSTRA LCSW (NPI 1770131229) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34002649A) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1770131229
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARVIN LOUIS POLSTRACredential: LCSW
Location Address3505 WASHINGTON BLVDIndianapolis, IN 46205-3718
Mailing Address3505 Washington BlvdIndianapolis, IN 46205-3718 · (317) 920-5900 · Fax (317) 920-5911
Phone(317) 920-5900
Fax(317) 920-5911
Sole ProprietorNo
Enumeration DateAugust 28, 2019
✔ NPI 1770131229 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 · 34002649A
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.
3505 WASHINGTON BLVD, Indianapolis, IN 46205
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Other Names 1

Other Name (5)Mr. John M Polstra Lcsw

Other Providers at the Same Location NPPES 8

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

SHERI JOAN BOWLEN LCSW
Social Worker (Clinical)
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205
Marion County (317) 920-5900
MRS. LYNN LOUISE DYE MSW
Social Worker (Clinical)
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205
Marion County (317) 920-5900
MRS. CHARLOTTE PIKET SHOULDERS MSW
Social Worker
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205
Marion County (317) 920-5900
SHANAE KELLEY
Social Worker (Clinical)
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205
Marion County (317) 920-5900
REACH FOR YOUTH
Case Management
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205
Marion County (317) 920-5900
SOUTHSIDE YOUTH COUNCIL
Community/Behavioral Health
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205
Marion County (317) 920-5900
LINDSEY SOUTHWICK
Social Worker (Clinical)
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205
Marion County (317) 920-5900
MRS. HILARY DEE MATTHEWS LCSW
Social Worker (Clinical)
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205
Marion County (317) 920-5900

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 Marvin Polstra's NPI number?

The NPI number for Marvin Polstra is 1770131229. It was assigned to this individual provider in the NPPES registry on August 28, 2019. The provider is also known as Mr. John M Polstra Lcsw.

Where is Marvin Polstra located?

Marvin Polstra practices at 3505 Washington Blvd, Indianapolis, IN 46205. The listed phone number is (317) 920-5900.

What is Marvin Polstra'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 Marvin Polstra was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.