National Provider Identifier

Polly Smith, CASAC

Polly Smith, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 442-8422.

NPI 1902528482Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1902528482
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
September 13, 2022
Last Updated
January 05, 2023

Practice Location

  • 556 Clinton Ave S
  • Rochester, NY 14620-1105

Phone: (585) 442-8422

Mailing Address

  • 3537 Cole RD
  • Marion, NY 14505-9715

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1902528482
Entity Type
Individual
Last Name
Smith
First Name
Polly
Credential
CASAC
Mailing Street Address
3537 Cole RD
Mailing City
Marion
Mailing State
NY
Mailing ZIP Code
14505-9715
Mailing Country
US
Practice Street Address
556 Clinton Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1105
Practice Country
US
Practice Phone
(585) 442-8422
Enumeration Date
September 13, 2022
Last Updated
January 05, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 05, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)