Mrs Colleen Clendaniel, LCSW in Mandeville, LA - Medicare Social Worker Provider

Mrs Colleen Clendaniel, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mandeville, Louisiana. Her current practice location is 372 Sandalwood Dr, Mandeville, Louisiana. You can reach out to her office (for appointments etc.) via phone at (703) 615-0418.

Mrs Colleen Clendaniel is licensed to practice in California (license number 112477) 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 1649054941.

Contact Information

	Mrs Colleen Clendaniel, LCSW
	372 Sandalwood Dr, Mandeville, LA 70448-6357
	(703) 615-0418
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Colleen Clendaniel
Gender	Female
Speciality	Social Worker - Clinical
Location	372 Sandalwood Dr, Mandeville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649054941
Provider Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7911437462
Enrollment ID: I20250212003201

Medical Identifiers

Medical identifiers for Mrs Colleen Clendaniel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649054941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW138188 (Pennsylvania)	Secondary
1041C0700X	Social Worker - Clinical	112477 (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. Mrs Colleen Clendaniel allows following entities to bill medicare on her behalf.

Entity Name	Encora Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235899949 PECOS PAC ID: 9335502855 Enrollment ID: O20230831002051

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. Mrs Colleen Clendaniel 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
Mrs Colleen Clendaniel, LCSW 372 Sandalwood Dr, Mandeville, LA 70448-6357 Ph: (703) 615-0418	Mrs Colleen Clendaniel, LCSW 372 Sandalwood Dr, Mandeville, LA 70448-6357 Ph: (703) 615-0418

Reviews and Comments

Social Worker in Mandeville, LA

Jane S Neel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1009 Live Oak Loop, Mandeville, LA 70448 Phone: 985-778-3472
Mrs. Sarah B Moran, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 N Causeway Blvd, #32, Mandeville, LA 70471 Phone: 985-626-8100 Fax: 985-626-5900
Jeanne-marie Ganucheau, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Cambronne St, Mandeville, LA 70448 Phone: 504-450-2131
Mrs. Raven Strange, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Wilkinson St, Mandeville, LA 70448 Phone: 985-624-4450
Dr. Shannon Walsdorf, PHD, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4005 Azalea Ct, Mandeville, LA 70448 Phone: 985-373-8609
Miss Anna Alicia Mercante, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Mariners Plaza Dr Ste 601c, Mandeville, LA 70448 Phone: 985-264-2852
Larkin Ellison Fultz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4038 Desoto Street, Mandeville, LA 70471 Phone: 985-264-1683 Fax: 985-892-2287

Mrs Colleen Clendaniel, LCSW - Medicare Clinical Social Worker in Mandeville, LA