Polly Sams, LICSW
NPI 1326710997ActiveIndividual· Social Worker, Clinical· Ellensburg, WA
Social Worker, Clinical (LICSW) with Kittitas County Public Hospital Dist 1, practicing in Ellensburg, Washington. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1326710997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Oct 1, 2021 |
| Last updated in NPPES | Oct 1, 2021 |
| Certified by provider | Oct 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW00004356 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WA) |
|---|
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Kittitas County Public Hospital Dist 1Cle Elum, WA · 82 clinicians
Other clinical social workers in Ellensburg
- 1124188487
- 1275099921
- 1609454537
- 1457897498
- 1881764769
- 1750195657
- 1396944690
- 1851081285
- 1992843601
- 1003670597
- 1972614980
- 1619282092