Shakari Carson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Redmond, Oregon. She graduated from healthcare school in 2021 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Deschutes County Oregon and her current practice location is
244 Nw Kingwood Ave, Redmond, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 322-7500.
Shakari Carson is licensed to practice in Oregon (license number L16679) 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 1063148690.
Healthcare Provider's Profile
| Full Name | Shakari Carson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 244 Nw Kingwood Ave, Redmond, Oregon |
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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. |
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Medical Education and Training:
- Shakari Carson graduated from medical school in 2021
NPI Data:
- NPI Number: 1063148690
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 07/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759899420
- Enrollment ID: I20250804002715
Medical Identifiers
Medical identifiers for Shakari Carson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063148690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L16679 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Deschutes County Oregon | 9638083371 | 47 |
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. Shakari 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 |
|---|
Shakari Carson, LCSW
2577 Ne Courtney Dr,
Bend, OR 97701-7752
Ph: (541) 322-7500 | Shakari Carson, LCSW
244 Nw Kingwood Ave,
Redmond, OR 97756-1688
Ph: (541) 322-7500 |
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