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LISA POLENBERG L.C.S.W.
NPI 1780720243
Social Worker - Clinical in New York, NY

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
303 5TH AVE RM 808, NEW YORK, NY 10016(212) 337-1441 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Mar 20, 2018 (2 updates tracked since 2018).

About Lisa Polenberg L.c.s.w. NPPES

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

LISA POLENBERG L.C.S.W. (NPI 1780720243) is an individual clinical provider in New York, New York, licensed in New York (RO477291) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1780720243
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA POLENBERGCredential: L.C.S.W.
Location Address303 5TH AVE RM 808New York, NY 10016-6647
Mailing Address303 5th Ave Rm 808New York, NY 10016-6647 · (212) 337-1441
Phone(212) 337-1441
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 30, 2007
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1780720243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · RO477291✔ Licensed in NY · RO44729-1
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.
303 5TH AVE RM 808, New York, NY 10016
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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

Lisa Polenberg L.c.s.w. 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 ID1658560354
PECOS Enrollment IDI20110112000055
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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 $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Lisa Polenberg's NPI number?

The NPI number for Lisa Polenberg is 1780720243. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Lisa Polenberg located?

Lisa Polenberg practices at 303 5th Ave Rm 808, New York, NY 10016. The listed phone number is (212) 337-1441.

What is Lisa Polenberg's specialty?

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

Is Lisa Polenberg enrolled in Medicare?

Yes. Lisa Polenberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Polenberg was last updated on May 7, 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.