| Doctor Name: | MRS. CATHY POLONCHAK |
| NPI Number: | 1598984833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 10681 |
| Business Practice Address: | 129 E. German St. Shepherdstown, WV - 254431784 |
| Business Phone Number: | 3048763022 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1784, SHEPHERDSTOWN |
| State: | WV |
| Postal Code: | 254431784 |
| Phone Number: | 3048763022 |
| Fax Number: | 3048761421 |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 01/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 10681 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |