Shakari Carson, LCSW is a
Social Worker - Clinical based in Redmond, Oregon. Shakari Carson is licensed to practice in Oregon (license number L16679) and her current practice location is
244 Nw Kingwood Ave, Redmond, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 322-7500.
NPI number for Shakari Carson is 1063148690 and her current mailing address is 2577 Ne Courtney Dr, Bend, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063148690.
Healthcare Provider's Profile
| Full Name | Shakari Carson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 244 Nw Kingwood Ave, Redmond, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063148690
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 07/16/2025
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 |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L16679 (Oregon) | Primary |
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
NOT enrolled with medicare and thus cannot 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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