Amanda Carlson, LCSW is a
Social Worker - Clinical based in Philadelphia, Pennsylvania. Amanda Carlson is licensed to practice in Pennsylvania (license number CW020891) and her current practice location is
3900 Woodland Ave, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 823-5800.
NPI number for Amanda Carlson is 1932744109 and her current mailing address is 3900 Woodland Ave, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932744109.
Healthcare Provider's Profile
Full Name | Amanda Carlson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3900 Woodland Ave, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932744109
- Provider Enumeration Date: 11/12/2019
- Last Update Date: 06/23/2021
Medical Identifiers
Medical identifiers for Amanda Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932744109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CW020891 (Pennsylvania) | 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. Amanda Carlson 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 |
Amanda Carlson, LCSW 3900 Woodland Ave, Philadelphia, PA 19104-4551 Ph: (215) 823-5800 | Amanda Carlson, LCSW 3900 Woodland Ave, Philadelphia, PA 19104-4551 Ph: (215) 823-5800 |
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