Individual provider Active NPI

Sara Marie Pollard, LMSW

  • Social Worker
  • Fort Worth, TX
National Provider Identifier
1679466411
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
114816 Issued in TX
Practice address
2945 Ryan Place Dr
Fort Worth, TX 76110-3424
Phone
(817) 739-5849
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 114816 TX Primary

Addresses

Primary practice location

2945 Ryan Place Dr
Fort Worth, TX 76110-3424

Mailing address

2945 Ryan Place Dr
Fort Worth, TX 76110-3424
Phone (817) 739-5849

Other names 1

  • Sara Marie Gibson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260206002832 MD Practitioner - Clinical Social Worker 7315426608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umeed Center for Healing Relationships LLCGroup PAC ID 6002393980, 3 clinicians

Practice addresses (Care Compare)

2300 York Rd
Suite 216
Timonium, MD 21093-2276
Phone (443) 202-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114816TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Umeed Center for Healing Relationships, LLC CurrentSince Dec 28, 2025 Accepting new patients

Locations

2300 York Rd
Ste 216
Timonium, MD 21093
Phone (443) 202-7736

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.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1679466411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 RYAN PLACE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103424",
            "telephone_number": "817-739-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 RYAN PLACE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103424",
            "telephone_number": "817-739-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "114816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GIBSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.