Individual provider Active NPI

Polly M Primus, LISW

  • Social Worker
  • Cedar Falls, IA
National Provider Identifier
1265674527
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007800 Issued in IA
Practice address
3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041
Phone
(319) 409-6854
NPI assigned
Apr 1, 2009
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X 007800 IA Primary

Addresses

Primary practice location

3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041

Mailing address

3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041
Phone (319) 409-6854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20140812000350 IA Practitioner - Clinical Social Worker 4284851445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041
Phone (319) 409-6854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Behavioral Services Inc CurrentSince Jun 18, 2014 Accepting new patients
Three Trees Therapy, LLC Social Worker CurrentSince Aug 1, 2025 Accepting new patients
Pathways Behavioral Services Inc CurrentSince Jun 18, 2014 Accepting new patients
Pathways Behavioral Services, Inc. Past Accepting new patients

Locations

3301 Cedar Heights Dr
Cedar Falls, IA 50613
Phone (319) 214-5063

602 S Washington Ave
Fredericksburg, IA 50630
Phone (319) 235-6571

1827 1st St W
Ste C
Independence, IA 50644

2275 S Linn Ave
New Hampton, IA 50659
Phone (641) 394-2391

3362 University Ave
Waterloo, IA 50701
Phone (319) 235-6571

607 Sycamore St
Ste 300
Waterloo, IA 50703
Phone (319) 232-5363

111 10th St SW
Waverly, IA 50677
Phone (319) 235-6571

124 2nd St NE
Waverly, IA 50677
Phone (319) 344-4994

325 21st St NW
Ste A
Waverly, IA 50677
Phone (319) 961-0696

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1265674527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CEDAR HEIGHTS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136041",
            "telephone_number": "319-409-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CEDAR HEIGHTS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136041",
            "telephone_number": "319-409-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMUS",
        "first_name": "POLLY",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.