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

Individual provider Clinical Social Worker · NPI 1326710997

Polly Sams, LICSW is a Clinical Social Worker in Ellensburg, Washington. Qualified in 1996, 30 years ago. Practices with Kittitas County Public Hospital Dist 1, a 81-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

100 E Jackson Ave Ste 301
Ellensburg, WA 98926-3692
Phone: (509) 933-8777
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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 LW00004356 (WA)

Record details

NPI number1326710997
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Kittitas County Public Hospital Dist 1 — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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