Nicole Carlson, LCSW, PMHNP-BC in Tempe, AZ - Medicare Clinical Social Worker Provider

Nicole Carlson, LCSW, PMHNP-BC is a medicare enrolled "Social Worker - Clinical" provider in Tempe, Arizona. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Crisis Preparation And Recovery Inc and her current practice location is 2600 E Southern Ave Ste C3, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at (626) 515-8875.

Nicole Carlson is licensed to practice in Arizona (license number LCSW-19986) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1427556240.

Contact Information

	Nicole Carlson, LCSW, PMHNP-BC
	2600 E Southern Ave Ste C3, Tempe, AZ 85282-7609
	(626) 515-8875
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Carlson
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	2600 E Southern Ave Ste C3, Tempe, Arizona
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Carlson graduated from medical school in 2014

NPI Data:

NPI Number: 1427556240
Provider Enumeration Date: 01/26/2018
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4183015720
Enrollment ID: I20211215002135

Medical Identifiers

Medical identifiers for Nicole Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427556240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-19986 (Arizona)	Primary
163W00000X	Registered Nurse	276452 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crisis Preparation And Recovery Inc	3173624384	61

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. Nicole Carlson allows following entities to bill medicare on her behalf.

Entity Name	Crisis Preparation And Recovery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588720650 PECOS PAC ID: 3173624384 Enrollment ID: O20070718000308

Entity Name	Banner Telehealth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396492005 PECOS PAC ID: 7113314279 Enrollment ID: O20220420002128

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. Nicole Carlson 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
Nicole Carlson, LCSW, PMHNP-BC 2600 E Southern Ave Ste C3, Tempe, AZ 85282-7609 Ph: (626) 515-8875	Nicole Carlson, LCSW, PMHNP-BC 2600 E Southern Ave Ste C3, Tempe, AZ 85282-7609 Ph: (626) 515-8875

Reviews and Comments

Social Worker in Tempe, AZ

Amy Burnside, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3910 S Rural Rd, Suite J, Tempe, AZ 85282 Phone: 480-317-9868 Fax: 480-317-9867
Carrie Holmes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8400 S Kyrene Rd Ste 224, Tempe, AZ 85284 Phone: 480-534-3795
Mr. David A. Mcgowan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1642 S Priest Dr, Bldg 6, Ste 101, Tempe, AZ 85281 Phone: 480-929-5100 Fax: 480-731-1066
Maria Elena Castro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1642 S. Priest Drive, Bldg 6, Ste 101, Tempe, AZ 85281 Phone: 602-685-6000 Fax: 480-731-1066
Sheryl Walden, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2177 E Warner Rd, Tempe, AZ 85284 Phone: 909-224-6682
Jean M Sokol, LCSW, LISAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2435 E Southern Ave, Suite 4, Tempe, AZ 85282 Phone: 480-522-4113 Fax: 480-924-4469
Heba Elsaad, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4535 S Lakeshore Dr Ste 6, Tempe, AZ 85282 Phone: 747-222-2179

Nicole Carlson, LCSW, PMHNP-BC - Medicare Clinical Social Worker in Tempe, AZ