Holly Lanette Carroll, LCSW in Sandpoint, ID - Medicare Social Worker Provider

Holly Lanette Carroll, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Sandpoint, Idaho. Her current practice location is 420 North 2nd Ave, Pmb #2, Suite 102, Sandpoint, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 627-9849.

Holly Lanette Carroll is licensed to practice in Idaho (license number LCSW-44620) 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 1124430970.

Contact Information

	Holly Lanette Carroll, LCSW
	420 North 2nd Ave, Pmb #2, Suite 102, Sandpoint, ID 83864
	(208) 627-9849
	(208) 719-7951

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Lanette Carroll
Gender	Female
Speciality	Social Worker - Clinical
Location	420 North 2nd Ave, Pmb #2, Sandpoint, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124430970
Provider Enumeration Date: 05/28/2014
Last Update Date: 02/23/2026

Medicare PECOS Information:

PECOS PAC ID: 7810333267
Enrollment ID: I20240308000200

Medical Identifiers

Medical identifiers for Holly Lanette Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124430970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-44620 (Idaho)	Primary
104100000X	Social Worker	33168 (Idaho)	Secondary

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. Holly Lanette Carroll allows following entities to bill medicare on her behalf.

Entity Name	Sandpoint Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427179746 PECOS PAC ID: 3072682061 Enrollment ID: O20080516000240

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. Holly Lanette Carroll 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
Holly Lanette Carroll, LCSW 420 North 2nd Ave, Pmb #2, Suite 102, Sandpoint, ID 83864 Ph: (208) 627-9849	Holly Lanette Carroll, LCSW 420 North 2nd Ave, Pmb #2, Suite 102, Sandpoint, ID 83864 Ph: (208) 627-9849

Reviews and Comments

Social Worker in Sandpoint, ID

Kristine Armstrong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 329 N 1st Ave, Sandpoint, ID 83864 Phone: 208-290-2450
Mrs. Kelly Jeanne Zehr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Main St, Sandpoint, ID 83864 Phone: 415-218-1364
Mrs. Cynthia Denise Ruguleiski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 Highway 2 Ste 4, Sandpoint, ID 83864 Phone: 208-261-2740
Aleksandra E Krotova, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1224 Washington Ave Ste 206, Sandpoint, ID 83864 Phone: 406-282-1634
Celina Ululani Larson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Highway 2 Ste E, Sandpoint, ID 83864 Phone: 208-304-8918 Fax: 208-625-2064
Ashley Delucchi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1022 N Florence Ave, Sandpoint, ID 83864 Phone: 208-290-2063

Holly Lanette Carroll, LCSW - Medicare Clinical Social Worker in Sandpoint, ID