Katherine Anne Carlson, MSW, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in South Lebanon, Ohio. Her current practice location is
206 Sycamore Ln Apt 75, South Lebanon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 328-9620.
Katherine Anne Carlson is licensed to practice in Ohio (license number I.1901787-SUPV) 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 1083127351.
Healthcare Provider's Profile
| Full Name | Katherine Anne Carlson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 206 Sycamore Ln Apt 75, South Lebanon, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083127351
- Provider Enumeration Date: 11/09/2017
- Last Update Date: 11/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577983014
- Enrollment ID: I20201021002682
Medical Identifiers
Medical identifiers for Katherine Anne Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083127351 | NPI | - | NPPES |
| I.1901787-SUPV | Other | OH | OHIO COUNSELOR, SOCIAL WORK, AND MARRIAGE AND FAMILY THERAPIST BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | I.1901787-SUPV (Ohio) | 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. Katherine Anne Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Butler Behavioral Health Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053377184 PECOS PAC ID: 9537061742 Enrollment ID: O20040127000062 |
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| Entity Name | Child Focus Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669438115 PECOS PAC ID: 8426339912 Enrollment ID: O20161220002452 |
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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. Katherine Anne Carlson 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 |
Katherine Anne Carlson, MSW, LISW-S 206 Sycamore Ln Apt 75, South Lebanon, OH 45065-1500 Ph: (513) 328-9620 | Katherine Anne Carlson, MSW, LISW-S 206 Sycamore Ln Apt 75, South Lebanon, OH 45065-1500 Ph: (513) 328-9620 |
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