POLLY SAMS LICSW
NPI 1326710997
Social Worker - Clinical in Ellensburg, WA
About Polly Sams Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POLLY SAMS LICSW (NPI 1326710997) is an individual clinical provider in Ellensburg, Washington, licensed in Washington (LW00004356) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Polly Sams Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98926 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELLENSBURG, WA 98926
ELLENSBURG, WA 98926
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Polly Sams's NPI number?
The NPI number for Polly Sams is 1326710997. It was assigned to this individual provider in the NPPES registry on October 1, 2021.
Where is Polly Sams located?
Polly Sams practices at 100 E Jackson Ave Ste 301, Ellensburg, WA 98926. The listed phone number is (509) 933-8777.
What is Polly Sams's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Polly Sams enrolled in Medicare?
Yes. Polly Sams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Polly Sams accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Polly Sams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Polly Sams was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Polly Sams, LICSW · NPI 1326710997
Clinical provider in Ellensburg, Washington. Individual provider, active in the CMS NPPES registry since October 1, 2021.
## Identity
- **NPI:** 1326710997 (Entity type: Individual)
- **Enumerated:** October 1, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW00004356 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E JACKSON AVE STE 301, Ellensburg, WA 98926-3692
- **Phone:** (509) 933-8777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** October 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1326710997) · Data from the CMS NPPES public registry.