Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Christine Polak, LCSW

Individual provider Clinical Social Worker · NPI 1508618547

Ellen Christine Polak, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

8102 Clearvista Pkwy
Indianapolis, IN 46256-1661
Phone: (317) 957-9936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34011076A (IN)

Record details

NPI number1508618547
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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