Individual provider Active NPI

Polly Maines, LMSW

  • Social Worker
  • Dallas, TX
National Provider Identifier
1932080702
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone
(214) 918-1999
Fax
(972) 850-9452
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 Primary

Addresses

Primary practice location

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084

Mailing address

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251016001322 TX Practitioner - Mental Health Counselor 2062735269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1612 Everwood CT
Longview, TX 75605-3357

375 E Central Ave
Second Floor Suite 377
Winter Haven, FL 33880-3047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carewright Clinical Services, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Hospice Longview, Inc. Current Accepting new patients

Locations

4925 Greenville Ave
Ste 1050
Dallas, TX 75206

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heart'S Way Hospice of Northeast TexasLongview, TX, CCN 451579 Hospice Corporate Officer
Corporate Director
W-2 Managing Employee (75%)
Aug 29, 2014
Aug 29, 2014
Aug 29, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1932080702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064084",
            "telephone_number": "214-918-1999",
            "fax_number": "972-850-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064084",
            "telephone_number": "214-918-1999",
            "fax_number": "972-850-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINES",
        "first_name": "POLLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.