Ms Diane Marie Carson, LAC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mancos, Colorado. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is
45262 Road J.8, Mancos, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 505-0963.
Ms Diane Marie Carson is licensed to practice in * (Not Available) (license number ) 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 1376859918.
Healthcare Provider's Profile
| Full Name | Ms Diane Marie Carson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 45262 Road J.8, Mancos, Colorado |
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| 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:
- Ms Diane Marie Carson graduated from medical school in 2011
NPI Data:
- NPI Number: 1376859918
- Provider Enumeration Date: 08/20/2010
- Last Update Date: 09/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810262391
- Enrollment ID: I20171010000328
Medical Identifiers
Medical identifiers for Ms Diane Marie Carson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376859918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | LCSW-22992 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | 127736 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 149029343 (Illinois) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sondermind Provider Network Llc | 9537572490 | 874 |
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. Ms Diane Marie Carson allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
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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. Ms Diane Marie Carson 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 |
Ms Diane Marie Carson, LAC, LCSW 45262 Road J.8, Mancos, CO 81328-9353 Ph: (303) 505-0963 | Ms Diane Marie Carson, LAC, LCSW 45262 Road J.8, Mancos, CO 81328-9353 Ph: (303) 505-0963 |
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