Carolin Marie Blakely, LCSW in Rego Park, NY - Medicare Clinical Social Worker Provider

Carolin Marie Blakely, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rego Park, New York. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Long Island Consultation Center Inc and her current practice location is 9729 64th Rd, Rego Park, New York. You can reach out to her office (for appointments etc.) via phone at (718) 896-3400.

Carolin Marie Blakely is licensed to practice in New York (license number 071749) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568647931.

Contact Information

	Carolin Marie Blakely, LCSW
	9729 64th Rd, Rego Park, NY 11374-2240
	(718) 896-3400
	(718) 459-5621

Map and Direction

Healthcare Provider's Profile

Full Name	Carolin Marie Blakely
Gender	Female
Speciality	Clinical Social Worker
Experience	25 Years
Location	9729 64th Rd, Rego Park, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carolin Marie Blakely graduated from medical school in 1999

NPI Data:

NPI Number: 1568647931
Provider Enumeration Date: 01/04/2008
Last Update Date: 01/04/2008

Medicare PECOS Information:

PECOS PAC ID: 1557386026
Enrollment ID: I20051013000467

Medical Identifiers

Medical identifiers for Carolin Marie Blakely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568647931	NPI	-	NPPES
00244019	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	071749 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Long Island Consultation Center Inc	8729068622	22

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. Carolin Marie Blakely allows following entities to bill medicare on her behalf.

Entity Name	Long Island Consultation Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295878577 PECOS PAC ID: 8729068622 Enrollment ID: O20040721001568

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. Carolin Marie Blakely 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
Carolin Marie Blakely, LCSW 11620 Inwood St, Jamaica, NY 11436-1348 Ph: (718) 341-6708	Carolin Marie Blakely, LCSW 9729 64th Rd, Rego Park, NY 11374-2240 Ph: (718) 896-3400

Reviews and Comments

Social Worker in Rego Park, NY

Jamila Aisha Cooper, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9777 Queens Blvd, Ph, Rego Park, NY 11374 Phone: 718-830-9274 Fax: 718-820-9276
Mrs. Eileen Nora Rella, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9745 Queens Blvd, Rego Park, NY 11374 Phone: 718-830-9274
Luis A Villanueva, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98120 Queens Blvd, Rego Park, NY 11374 Phone: 774-608-0001
Kishauna Sinclair, LMSW, CASAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98120 Queens Blvd, Rego Park, NY 11374 Phone: 718-830-0246
Mr. Alan Weinberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6353 Haring St Apt 604, Rego Park, NY 11374 Phone: 718-896-5837
Mrs. Esther Epstein Cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9729 64th Rd, Rego Park, NY 11374 Phone: 718-896-3400 Fax: 718-459-5621
Margarita Shakhmurov, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9876 Queens Blvd, Suite 1c, Rego Park, NY 11374 Phone: 917-846-2538 Fax: 516-295-0828

Carolin Marie Blakely, LCSW - Medicare Clinical Social Worker in Rego Park, NY