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

Marvin Louis Polstra, LCSW

Individual provider Clinical Social Worker · NPI 1770131229

Marvin Louis Polstra, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2019.

Licensed in
IN
In the registry since
2019
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

3505 Washington Blvd
Indianapolis, IN 46205-3718
Phone: (317) 920-5900
Fax: (317) 920-5911
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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 34002649A (IN)

Record details

NPI number1770131229
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESAugust 28, 2019

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