Individual provider Active NPI

Mia L Polk, LMSW

  • Case Manager/Care Coordinator
  • North Little Rock, AR
National Provider Identifier
1861572380
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4702 W Commercial Dr
North Little Rock, AR 72116-7068
Phone
(501) 812-5545
Fax
(501) 812-5546
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary
Social Worker 104100000X 1925-M AR
Clinical Social Worker 1041C0700X 2401 AR

Addresses

Primary practice location

4702 W Commercial Dr
North Little Rock, AR 72116-7068

Mailing address

4702 W Commercial Dr
North Little Rock, AR 72116-7068
Phone (501) 812-5545

Other names 1

  • Mia L Hampton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1925-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh in-Home Counseling LLC Clinical PastSince Oct 1, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1861572380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 W COMMERCIAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167068",
            "telephone_number": "501-812-5545",
            "fax_number": "501-812-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 W COMMERCIAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167068",
            "telephone_number": "501-812-5545",
            "fax_number": "501-812-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "MIA",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "1925-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "HAMPTON",
            "middle_name": "L",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.