Individual provider Active NPI

Desiree Polonis, LCSW

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1306495361
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22446 Issued in FL
Practice address
10178 Sweetgrass Cir
Naples, FL 34104-0934
Phone
(239) 398-4972
NPI assigned
Sep 11, 2019
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117527 CA
Clinical Social Worker 1041C0700X 09932430 CO
Clinical Social Worker 1041C0700X 22446 FL Primary

Addresses

Primary practice location

10178 Sweetgrass Cir
Naples, FL 34104-0934

Mailing address

10178 Sweetgrass Cir
Naples, FL 34104-0934
Phone (239) 398-4972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM, FL, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20260427001290 CO Practitioner - Clinical Social Worker 7517434616 Reassigns benefits to 1 organization
I20260427001801 NM Practitioner - Clinical Social Worker 7517434616 Reassigns benefits to 1 organization
I20260507002075 FL Practitioner - Clinical Social Worker 7517434616 Reassigns benefits to 1 organization
I20260609002725 CA Practitioner - Clinical Social Worker 7517434616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117527CAMDClinical Social Worker
09932430COMDClinical Social Worker
22446FLMDClinical Social Worker

Organizations & group practices 2

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1306495361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10178 SWEETGRASS CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341040934",
            "telephone_number": "239-398-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10178 SWEETGRASS CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341040934",
            "telephone_number": "239-398-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONIS",
        "first_name": "DESIREE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117527",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09932430",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "22446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.