Mrs Cathy Polonchak, LICSW | |
129 E. German St., Shepherdstown, WV 25443-1784 | |
(304) 876-3022 | |
Not Available |
Full Name | Mrs Cathy Polonchak |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 129 E. German St., Shepherdstown, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598984833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10681 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | DP00940860 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Cathy Polonchak, LICSW Po Box 1784, Shepherdstown, WV 25443-1784 Ph: (304) 876-3022 | Mrs Cathy Polonchak, LICSW 129 E. German St., Shepherdstown, WV 25443-1784 Ph: (304) 876-3022 |
Ms. Tara-marie Linne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Morgan Grove Rd, Shepherdstown, WV 25443 Phone: 304-876-0941 Fax: 304-876-0941 | |
Michael Monsma, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 Maddex Drive, Shepherdstown, WV 25443 Phone: 304-620-6365 Fax: 304-876-1471 |