National Provider Identifier

Courtney Lynn Polka, LCSW

Courtney Lynn Polka, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Amherst, NY and a listed phone number of (716) 545-4324.

NPI 1487924957Amherst, NYClinical Social Worker

Profile Overview

NPI
1487924957
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
December 30, 2011
Last Updated
February 18, 2022

Practice Location

  • 3140 Sheridan Dr Suite 209
  • Amherst, NY 14226-1422

Phone: (716) 545-4324

Mailing Address

  • 3140 Sheridan Dr Suite 209
  • Amherst, NY 14226-8708

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1487924957
Entity Type
Individual
Last Name
Polka
First Name
Courtney
Middle Name
Lynn
Name Prefix
Mrs.
Credential
LCSW
Provider Other Last Name
Sahr
Provider Other First Name
Courtney
Provider Other Middle Name
Lynn
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
3140 Sheridan Dr Suite 209
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-8708
Mailing Country
US
Mailing Phone
(716) 545-4324
Mailing Fax
(716) 759-7396
Practice Street Address
3140 Sheridan Dr Suite 209
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1422
Practice Country
US
Practice Phone
(716) 545-4324
Practice Fax
(716) 759-7396
Enumeration Date
December 30, 2011
Last Updated
February 18, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
August 17, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)