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

Mr. Trey J Polesky, LCSW

Individual provider Social Worker · NPI 1992010193

Mr. Trey J Polesky, LCSW is a Clinical Social Worker in Eureka, California. Qualified in 2010, 16 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California, Illinois and South Carolina.

Years since qualifying
16
Licensed in
CA, IL, SC
In the registry since
2010
Specialties on file
4
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

2910 Harris St
Eureka, CA 95503-4811
Phone: (707) 840-5511
Fax: (877) 761-3132
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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 66343 (CA)
Social Worker Taxonomy 104100000X · Licence 150012634 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11031 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149015330 (IL)

Record details

NPI number1992010193
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 11, 2010
Last updated in NPPESSeptember 17, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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