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

Mr. Robert David Polin, LCSW

Individual provider Clinical Social Worker · NPI 1104964410

Mr. Robert David Polin, LCSW is a Clinical Social Worker in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

646 Main St Lowr Level
Port Jefferson, NY 11777 Not confirmed with CMS for 19 years — call before visiting
Phone: (631) 689-8862
Fax: (631) 246-6492
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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 R0233061 (NY)

Record details

NPI number1104964410
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 8, 2007

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