Ms Diane Marie Carson, LAC, LCSW in Mancos, CO - Medicare Social Worker Provider

Ms Diane Marie Carson, LAC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mancos, Colorado. 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 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 1376859918.

Contact Information

	Ms Diane Marie Carson, LAC, LCSW
	45262 Road J.8, Mancos, CO 81328-9353
	(303) 505-0963
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Diane Marie Carson
Gender	Female
Speciality	Social Worker - Clinical
Location	45262 Road J.8, Mancos, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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

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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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

Reviews and Comments

Social Worker in Mancos, CO

Diane Jo Dettloff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35815 Road P.5, Mancos, CO 81328 Phone: 970-570-9673
Christie S. Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 43290 Road J.9 Loop, Mancos, CO 81328 Phone: 970-799-3050
Daniel Robert Hancock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10712 Road 35.6, Mancos, CO 81328 Phone: 303-204-6039
Sarah Coburn Hackett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 S. Main St, Suite 3, Mancos, CO 81328 Phone: 970-403-5496

Ms Diane Marie Carson, LAC, LCSW - Medicare Clinical Social Worker in Mancos, CO