Carla Clyde, in Lakewood, WA - Medicare Social Worker Provider

Carla Clyde, is a medicare enrolled "Social Worker - Clinical" provider in Lakewood, Washington. Her current practice location is 9330 59th Ave Sw, Lakewood, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 620-5015.

Carla Clyde is licensed to practice in Washington (license number LW60515867) 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 1619375789.

Contact Information

	Carla Clyde,
	9330 59th Ave Sw, Lakewood, WA 98499-2858
	(253) 620-5015
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carla Clyde
Gender	Female
Speciality	Social Worker - Clinical
Location	9330 59th Ave Sw, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619375789
Provider Enumeration Date: 12/05/2014
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9830560440
Enrollment ID: I20230118002000

Medical Identifiers

Medical identifiers for Carla Clyde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619375789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW60515867 (Washington)	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. Carla Clyde allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Greater Lakes Mental Health Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162

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. Carla Clyde 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
Carla Clyde, 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 620-5015	Carla Clyde, 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 620-5015

Reviews and Comments

Social Worker in Lakewood, WA

Miss Shakima L Tozay, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9108 Lakewood Dr Sw, Lakewood, WA 98499 Phone: 253-581-6202
Keith John Mcneal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 100th St Sw Ste 17b, Lakewood, WA 98499 Phone: 253-431-9739
Joseph Terrell Gilmore, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 100th St Sw Ste 16, Lakewood, WA 98499 Phone: 915-760-9526
Emily Kathryn Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 100th St Sw Ste 17b, Lakewood, WA 98499 Phone: 253-625-5942
Mrs. Amy Melissa Geforos, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-756-2913 Fax: 253-756-2681
Dr. Jack D Williamson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5126 80th St Sw, Lakewood, WA 98499 Phone: 253-476-1234
Suzra Martha Saronne Antoine, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 100th St Sw, Lakewood, WA 98499 Phone: 253-625-5942

Carla Clyde, - Medicare Clinical Social Worker in Lakewood, WA