Connie G Polovina, LCSW- C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16064 Issued in MD

Practice address

270 Tilghman Rd
Salisbury, MD 21804-1921

Phone

(410) 845-1645

NPI assigned

Dec 31, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1003146739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 TILGHMAN RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041921",
            "telephone_number": "410-845-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 TILGHMAN RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041921",
            "telephone_number": "410-845-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOVINA",
        "first_name": "CONNIE",
        "middle_name": "G",
        "credential": "LCSW- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Joseph Platzke, MSPT
• Jonathan Benjamin Pobst, LMSW
• Eileen Claire McCarron Poe, RDH
• Tanya X Poisker, CRNP
• Robert Poli, D.M.D.
• Rachel Marie Pomycala, AUD
• Ashley Poole, PA-C
• Savannah Brooke Poorman, LMSW
• Eman Popal
• Omolara Popoola, RN

• Clinical Social Worker in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.