Jason Polk, LCSW, LAC is a
Social Worker - Clinical based in Denver, Colorado. Jason Polk is licensed to practice in Colorado (license number CSW.09923905) and his current practice location is
190 E 9th Ave Ste 395, Denver, Colorado. He can be reached at his office (for appointments etc.) via phone at
(720) 272-9573.
NPI number for Jason Polk is 1396111035 and his current mailing address is 150 W 9th Ave Unit 2513, Denver, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396111035.
Healthcare Provider's Profile
Full Name | Jason Polk |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 190 E 9th Ave Ste 395, Denver, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396111035
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 08/17/2015
Medical Identifiers
Medical identifiers for Jason Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396111035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000426 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09923905 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Polk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jason Polk, LCSW, LAC 150 W 9th Ave Unit 2513, Denver, CO 80204-4054 Ph: (720) 272-9573 | Jason Polk, LCSW, LAC 190 E 9th Ave Ste 395, Denver, CO 80203-2736 Ph: (720) 272-9573 |
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