ANNE POLASKO (LISW-S) – Clinical Social Worker, NPI 1013666486

ANNE POLASKO (LISW-S) is a healthcare provider. based in Mason, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I-1302032 (OH). The NPI Number for ANNE POLASKO (LISW-S) is 1013666486

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
ANNE POLASKO (LISW-S)
NPI
1013666486
Phone
(513) 536-0437
Address
4075 OLD WESTERN ROW RD
Enumeration Date
22 March 2022
Last Update Date
22 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135364673
Graduation Year
1991 (35 years ago)
PAC ID
2769865161
Group Practice PAC ID
7012236409
Professional Enrollment ID
I20220817003698
Address ID
OH450403104MA4075XRDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for ANNE POLASKO (LISW-S)

  • 4075 OLD WESTERN ROW RD

    MASON, OH 450403104

    Phone: (513) 536-0437

    Fax: (513) 536-0609

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220817003698IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes30015$0
90837Psychotherapy, 1 hour8814$0
View full utilization report →

Insurance plans in this area (ZIP 45040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012236409View full group profile
NameSpecialtyState
Clinical PsychologistOH
Mental Health CounselorOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
-IL
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Is there an official ID for ANNE POLASKO (LISW-S) in U.S. healthcare records?
The official identifier for ANNE POLASKO (LISW-S) is NPI 1013666486.
Is there an active status for ANNE POLASKO (LISW-S)?
For scheduling context, ANNE POLASKO (LISW-S) is shown as active in the registry.
What expertise is attributed to ANNE POLASKO (LISW-S)?
ANNE POLASKO (LISW-S)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is ANNE POLASKO (LISW-S) located near Mason?
ANNE POLASKO (LISW-S) currently maps to Mason, Ohio in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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