Active NPI
Polina Natanelova
- Social Worker
- Phoenix, AZ
National Provider Identifier
1083137350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16684
- Practice address
- 3118 W Thomas Rd Ste 712
Phoenix, AZ 85017-5308 - Phone
- (623) 226-0293
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 16684 | AZ | Primary |
| Social Worker | 104100000X | 100762 | NY |
Addresses
Primary practice location
3118 W Thomas Rd Ste 712
Phoenix, AZ 85017-5308
Mailing address
1118 E Villa Theresa Drive
Phoenix, AZ 85022
Phone (646) 923-0210
Other practice location 1
85-45 111th St
Richmond Hill, NY 11418
Phone (646) 923-0210
Other practice location 2
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (718) 504-9256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16684 | AZ | MD | Social Worker |
| 100762 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Bayside, NY
- NPI 1982798773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1083137350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 E VILLA THERESA DRIVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85022",
"telephone_number": "646-923-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3118 W THOMAS RD STE 712",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850175308",
"telephone_number": "623-226-0293"
}
],
"practiceLocations": [
{
"address_1": "85-45 111th St",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "NY",
"postal_code": "11418",
"country_code": "US",
"telephone_number": "646-923-0210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3635 Bell Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113612097",
"country_code": "US",
"telephone_number": "718-504-9256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATANELOVA",
"first_name": "POLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "16684",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "100762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.