Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RITA IRENE POLIVICK, M.S., LCSW
Active Sole ProprietorRITA IRENE POLIVICK, M.S., LCSW is a Mental Health Counselor healthcare provider located in FORT WAYNE, Indiana. NPI 1437387537 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · FORT WAYNE, IN
Registration Details
- NPI Number
- 1437387537
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2009 (17.144388306433 yrs)
- Last Updated
- Jun 26, 2009
- Licenses
-
34003316A (IN)MH4219 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3010 E STATE BLVDFORT WAYNE, IN, 468054700Browse IN providers · Browse ZIP 46805
- Phone
- 2604712300
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. LORI LEE HORSTMEYER-GRUBB | LMHC, BCPC | 1689679177 |
| STEPHEN ALEXANDER KONZ | LMHC | 1780680694 |
| KENNETH L. SHIELDS | LMHC | 1548267743 |
| CHERYL L. CONFER | LMHC | 1831170406 |
| JOAN LUTHER | LMHC | 1568444701 |
| AMY NITZA | PH.D | 1619953692 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.