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JILLIAN POLINSKI
NPI 1962931493
Social Worker - Clinical in Buffalo, NY

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
3350 MAIN ST, BUFFALO, NY 14214(716) 819-3420(716) 819-3430 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2021, Jun 8, 2017 (2 updates tracked since 2017).

About Jillian Polinski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN POLINSKI (NPI 1962931493) is an individual clinical provider in Buffalo, New York, licensed in New York (090937) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962931493
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJILLIAN POLINSKI
Location Address3350 MAIN STBuffalo, NY 14214-1316
Mailing Address3350 Main StBuffalo, NY 14214-1316 · (716) 819-3420 · Fax (716) 819-3430
Phone(716) 819-3420
Fax(716) 819-3430
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
✔ NPI 1962931493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 090937
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
3350 MAIN ST, Buffalo, NY 14214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jillian Polinski 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.

PECOS PAC ID3870902562
PECOS Enrollment IDI20210510002311
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jillian Polinski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shurmatz Counseling Lcsw PC
2.3 mi
Clinical
3435 HARLEM RD STE 3
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 52 clinicians in this Medicare group
NPI 1225597768 (716) 785-2903
Mid Erie Mental Health Services Inc
3.9 mi
Counselor
1526 WALDEN AVE, STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 82 clinicians in this Medicare group
NPI 1225095201 (716) 895-7167

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS TAYLOR JOHNSON
Case Manager/Care Coordinator
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 819-3420
MICHAEL LYNCH MSW
Social Worker
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
LILEIAN NIDAL RIZEK
Counselor
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
EDNA WIELBON
Social Worker (Clinical)
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
SALLY LYNN FRIES
Counselor
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
KAITLIN HOLTZ
Case Manager/Care Coordinator
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
JOHN WETHERWAX MS
Counselor (Mental Health)
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011
ANNE DERNBACH MS
Counselor (Mental Health)
3350 MAIN ST
BUFFALO, NY 14214
Erie County (716) 835-4011

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 Jillian Polinski's NPI number?

The NPI number for Jillian Polinski is 1962931493. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Jillian Polinski located?

Jillian Polinski practices at 3350 Main St, Buffalo, NY 14214. The listed phone number is (716) 819-3420.

What is Jillian Polinski's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jillian Polinski enrolled in Medicare?

Yes. Jillian Polinski 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.

Which organizations bill Medicare for Jillian Polinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Polinski reassigns Medicare benefits to 2 organizations: Shurmatz Counseling Lcsw PC (Cheektowaga, NY) and Mid Erie Mental Health Services Inc (Cheektowaga, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jillian Polinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jillian Polinski was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.