Active NPI
Polly Paccassi Lund, MSW, CSW-I
- Social Worker
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12957061-3506
- Practice address
- 155 Calle Portal Ste 700
Sierra Vista, AZ 85635-2973 - Phone
- (520) 364-1429
- Fax
- (520) 515-8690
- NPI assigned
- Oct 26, 2022
- Last updated
- Sep 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12957061-3506 | AZ | Primary |
Addresses
Primary practice location
155 Calle Portal Ste 700
Sierra Vista, AZ 85635-2973
Mailing address
1205 N F Ave
Douglas, AZ 85607-1920
Phone (520) 364-1429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
155 Calle Portal
Sierra Vista, AZ 85635-2900
Phone (520) 459-3012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12957061-3506 | AZ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiricahua Community Health Centers, Inc. | Current | Accepting new patients | |
| Bear River Mental Health Services Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients |
Locations
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203
663 W Hospital Rd
Brigham City, UT 84302
Phone (435) 734-9449
90 E 200 N
Logan, UT 84321
Phone (435) 752-0750
Interoperability endpoints
- polly.lund.p1@direct.cchci.nextgenshare.com
Organizations & group practices 3
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.
-
dba Business Office
- Federally Qualified Health Center (FQHC)
- Douglas, AZ
- NPI 1942241443
-
- Mental Health Counselor
- Logan, UT
- NPI 1285736553
-
dba Willcox Clinic
- Federally Qualified Health Center (FQHC)
- Willcox, AZ
- NPI 1285488866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1851018147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N F AVE",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856071920",
"telephone_number": "520-364-1429",
"fax_number": "520-515-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL STE 700",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352973",
"telephone_number": "520-364-1429",
"fax_number": "520-515-8690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "POLLY",
"middle_name": "PACCASSI",
"credential": "MSW, CSW-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-26",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "12957061-3506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
- Christopher James Castillo Love, DMD
- Trevor Mitch Lowe, PT, DPT
- Ian Lucero
- Lucy Burciaga MD PLLC
- Lisa Marie Luick, RN
- Gayle Y Lundtvedt, D.M.D.
- Michele Lunow
- Luxottica Retail North America Inc (Sears Optical #1833)
- M.G. Ramirez, D.D.S., P.C.
- M&F Healthcare Services LLC (Beehive Homes of Sierra Vista)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.