Kellie Dahlstrom, LICSW in Worcester, MA - Medicare Social Worker Provider

Kellie Dahlstrom, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Worcester, Massachusetts. Her current practice location is 50 Elm St, #3b, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 755-0436.

Kellie Dahlstrom is licensed to practice in Massachusetts (license number 118781) 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 1972960888.

Contact Information

	Kellie Dahlstrom, LICSW
	50 Elm St, #3b, Worcester, MA 01609-2574
	(508) 755-0436
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie Dahlstrom
Gender	Female
Speciality	Social Worker - Clinical
Location	50 Elm St, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972960888
Provider Enumeration Date: 01/22/2016
Last Update Date: 04/18/2022

Medicare PECOS Information:

PECOS PAC ID: 4082001854
Enrollment ID: I20220426000062

Medical Identifiers

Medical identifiers for Kellie Dahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972960888	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	118781 (Massachusetts)	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. Kellie Dahlstrom allows following entities to bill medicare on her behalf.

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420

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. Kellie Dahlstrom 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
Kellie Dahlstrom, LICSW 19 Mcintyre Rd, Charlton, MA 01507-5125 Ph: (774) 200-6371	Kellie Dahlstrom, LICSW 50 Elm St, #3b, Worcester, MA 01609-2574 Ph: (508) 755-0436

Reviews and Comments

Social Worker in Worcester, MA

Kristi Dawn Vargas, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1295
Michael G Durben, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Lincoln St, Worcester, MA 01605 Phone: 978-632-9400
Jordan Doucette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000
Ms. Laurie J Drazek, LCSW, M. ED Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 Highland Street, Worcester, MA 01602 Phone: 508-860-1172
Ms. Tuyet Tran, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-981-9797
Kristine E Lotoski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Main St, Suite 383, Worcester, MA 01608 Phone: 508-791-4976 Fax: 508-791-6723
Ms. Julia Joachim Shaw, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 617-817-2033

Kellie Dahlstrom, LICSW - Medicare Clinical Social Worker in Worcester, MA