Angelica Leanne Carlsen, ASW in Burlingame, CA - Medicare Social Worker Provider

Angelica Leanne Carlsen, ASW is a medicare enrolled "Social Worker - Clinical" provider in Burlingame, California. Her current practice location is 1575 Old Bayshore Hwy Ste 205, Burlingame, California. You can reach out to her office (for appointments etc.) via phone at (669) 200-2709.

Angelica Leanne Carlsen is licensed to practice in California (license number 121568) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114788015.

Contact Information

	Angelica Leanne Carlsen, ASW
	1575 Old Bayshore Hwy Ste 205, Burlingame, CA 94010-1616
	(669) 200-2709
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angelica Leanne Carlsen
Gender	Female
Speciality	Social Worker - Clinical
Location	1575 Old Bayshore Hwy Ste 205, Burlingame, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114788015
Provider Enumeration Date: 01/17/2024
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1759805542
Enrollment ID: I20250414003220

Medical Identifiers

Medical identifiers for Angelica Leanne Carlsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114788015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	121568 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angelica Leanne Carlsen allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angelica Leanne Carlsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angelica Leanne Carlsen, ASW 2010 Chestnut St Apt 107, San Francisco, CA 94123-2747 Ph: (714) 873-6369	Angelica Leanne Carlsen, ASW 1575 Old Bayshore Hwy Ste 205, Burlingame, CA 94010-1616 Ph: (669) 200-2709

Reviews and Comments

Social Worker in Burlingame, CA

Jennifer Lynn Merrill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1529 Rollins Rd, Burlingame, CA 94010 Phone: 415-690-5495
Debra Ruben, LCSW, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1408 Chapin Ave Ste 3, Burlingame, CA 94010 Phone: 415-322-9180
Ms. Hilary Kate Robison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Primrose Rd, Ste 310, Burlingame, CA 94010 Phone: 650-342-4535
Carla Daniela Alvarado-aguilar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1375 Burlingame Ave, Burlingame, CA 94010 Phone: 650-952-1190
Shirley Eigenbrot, LCSW, MAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1860 El Camino Real, Suite 310, Burlingame, CA 94010 Phone: 650-455-3121 Fax: 650-697-3931
Diana Alise Lopez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 287 Lorton Ave, Burlingame, CA 94010 Phone: 800-505-5972

Angelica Leanne Carlsen, ASW - Medicare Clinical Social Worker in Burlingame, CA