Mary Catherine Liesenberg, LCSW in San Diego, CA - Medicare Social Worker Provider

Mary Catherine Liesenberg, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. Her current practice location is 10155 Pacific Heights Blvd Bldg Az2nd, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 651-5918.

Mary Catherine Liesenberg is licensed to practice in California (license number 77043) 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 1215288634.

Contact Information

	Mary Catherine Liesenberg, LCSW
	10155 Pacific Heights Blvd Bldg Az2nd, San Diego, CA 92121-4214
	(858) 651-5918
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Catherine Liesenberg
Gender	Female
Speciality	Social Worker - Clinical
Location	10155 Pacific Heights Blvd Bldg Az2nd, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215288634
Provider Enumeration Date: 09/25/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7911425186
Enrollment ID: I20250520005069

Medical Identifiers

Medical identifiers for Mary Catherine Liesenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215288634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	008817 (Connecticut)	Secondary
1041C0700X	Social Worker - Clinical	77043 (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. Mary Catherine Liesenberg allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

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. Mary Catherine Liesenberg 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
Mary Catherine Liesenberg, LCSW 10155 Pacific Heights Blvd, Bldg Az, 2nd Floor, San Diego, CA 92121 Ph: (858) 651-5918	Mary Catherine Liesenberg, LCSW 10155 Pacific Heights Blvd Bldg Az2nd, San Diego, CA 92121-4214 Ph: (858) 651-5918

Reviews and Comments

Social Worker in San Diego, CA

Ms. Sonya None Starr, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4660 Palm Ave, San Diego, CA 92154 Phone: 619-662-5000
Evelina Jaime, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114 Phone: 619-266-2111 Fax: 619-266-0496
Channing Gredvig, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3420 Kenyon St, San Diego, CA 92110 Phone: 619-221-6550 Fax: 619-221-6556
Mr. Javier Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116 Phone: 619-787-2534
Noemi Ana Mitzel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 654, San Diego, CA 92119 Phone: 619-382-8662
Leah Bogopulsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123 Phone: 858-966-1700
Dawnn Marie Mendoza Guray, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr Ste 132, San Diego, CA 92123 Phone: 858-609-8742

Mary Catherine Liesenberg, LCSW - Medicare Clinical Social Worker in San Diego, CA