Provider Demographics
NPI:1366885238
Name:BROWNING, POLLY Y (LCSW)
Entity type:Individual
Prefix:MS
First Name:POLLY
Middle Name:Y
Last Name:BROWNING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SAN CARLOS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:AZ
Mailing Address - Zip Code:85550-9999
Mailing Address - Country:US
Mailing Address - Phone:928-475-4875
Mailing Address - Fax:928-475-4880
Practice Address - Street 1:5 SAN CARLOS AVE
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:AZ
Practice Address - Zip Code:85550-9999
Practice Address - Country:US
Practice Address - Phone:928-475-4875
Practice Address - Fax:928-475-4880
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX377941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical