Ellen Christine Polak, LCSW
NPI 1508618547ActiveIndividual· Social Worker, Clinical· Indianapolis, IN
Social Worker, Clinical (LCSW) with Community Physicians of Indiana Inc, practicing in Indianapolis, Indiana. Enrolled in Medicare as practitioner - clinical social worker. Lists Fairbanks as a hospital affiliation.
Overview
| NPI | 1508618547 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Apr 3, 2024 |
| Last updated in NPPES | Apr 3, 2024 |
| Certified by provider | Apr 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 34011076A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IN) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Community Physicians of Indiana IncIndianapolis, IN · 1,565 clinicians
Hospital affiliation
- FairbanksIndianapolis, IN
Other clinical social workers in Indianapolis
- 1700665643
- 1003366139
- 1013487347
- 1023368313
- 1023505682
- 1023873114
- 1033545579
- 1033564778
- 1033890157
- 1043661911
- 1053634360
- 1063884617
All 1,736 clinical social workers in Indianapolis · All clinical social workers in Indiana