National Provider Identifier

Rachele A. Pollack, LCSW-R, CASAC

Rachele A. Pollack, LCSW-R, CASAC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 269-0187.

NPI 1992795843Ithaca, NYClinical Social Worker

Profile Overview

NPI
1992795843
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 24, 2005
Last Updated
October 30, 2019

Practice Location

  • 319 N Tioga St
  • Ithaca, NY 14850-4205

Phone: (607) 269-0187

Mailing Address

  • 304 Saranac Way
  • Ithaca, NY 14850-9489

Specialties

  • Clinical Social Worker (1041C0700X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • School Social Worker (1041S0200X)
Full Record
NPI
1992795843
Entity Type
Individual
Last Name
Pollack
First Name
Rachele
Middle Name
A.
Name Prefix
MS.
Credential
LCSW-R, CASAC
Mailing Street Address
304 Saranac Way
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9489
Mailing Country
US
Mailing Phone
(607) 277-7363
Practice Street Address
319 N Tioga St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4205
Practice Country
US
Practice Phone
(607) 269-0187
Enumeration Date
October 24, 2005
Last Updated
October 30, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Addiction (Substance Use Disorder) Counselor (101YA0400X), School Social Worker (1041S0200X)