Carissa Michelle Witham, LCSW in Placentia, CA - Medicare Social Worker Provider

Carissa Michelle Witham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Placentia, California. Her current practice location is 1041 E Yorba Linda Blvd, Placentia, California. You can reach out to her office (for appointments etc.) via phone at (800) 701-0937.

Carissa Michelle Witham is licensed to practice in California (license number 115199) 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 1386134484.

Contact Information

	Carissa Michelle Witham, LCSW
	1041 E Yorba Linda Blvd, Placentia, CA 92870-3728
	(800) 701-0937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carissa Michelle Witham
Gender	Female
Speciality	Social Worker - Clinical
Location	1041 E Yorba Linda Blvd, Placentia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386134484
Provider Enumeration Date: 05/14/2018
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5698127942
Enrollment ID: I20240123000673

Medical Identifiers

Medical identifiers for Carissa Michelle Witham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386134484	NPI	-	NPPES
7420	Medicaid	CA
6758	Medicaid	CA
7068	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	92842 (California)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	115199 (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. Carissa Michelle Witham allows following entities to bill medicare on her behalf.

Entity Name	Forward Wellness Family Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815

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. Carissa Michelle Witham 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
Carissa Michelle Witham, LCSW 1041 E Yorba Linda Blvd Ste 202, Placentia, CA 92870-3760 Ph: (800) 701-0937	Carissa Michelle Witham, LCSW 1041 E Yorba Linda Blvd, Placentia, CA 92870-3728 Ph: (800) 701-0937

Reviews and Comments

Social Worker in Placentia, CA

Katie Jo Hommes Algera, A.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 N Kraemer Blvd Unit 1506, Placentia, CA 92871 Phone: 303-842-6389
Jessica Fernandez Sando, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 326 Annajeanne Dr, Placentia, CA 92870 Phone: 562-631-7077
Johanna Maureen Crespin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1041 E Yorba Linda Blvd Ste 202, Placentia, CA 92870 Phone: 714-253-4429
Erin F Zadrozny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 601, Placentia, CA 92871 Phone: 714-584-7344
Ms. Ingrid D. Budd, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 N Kraemer Blvd, Suite 105, Placentia, CA 92870 Phone: 714-292-1373
Ms. Kelley Terese Ponce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 377 E Chapman Ave, Placentia, CA 92870 Phone: 714-577-5400 Fax: 714-577-5450

Carissa Michelle Witham, LCSW - Medicare Clinical Social Worker in Placentia, CA