IndividualActive
Amy Polanco, LICSW
NPI 1316294366 · Clinical Social Worker · Cumberland, RI
Provider details
- NPI number
- 1316294366
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LICSW128113 (MA)
Mailing address
9 Beachwood Dr
Cumberland, RI 02864-6421
Registry dates
- Enumerated
- 2012-08-09
- Last updated
- 2024-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.