Calissa Nicole Welch, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
12141 Old Dulin Farms Way, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(860) 778-5317.
Calissa Nicole Welch is licensed to practice in North Carolina (license number C014686) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720473234.
Healthcare Provider's Profile
Full Name | Calissa Nicole Welch |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 12 Years |
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Location | 12141 Old Dulin Farms Way, Charlotte, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Calissa Nicole Welch graduated from medical school in 2012
NPI Data:
- NPI Number: 1720473234
- Provider Enumeration Date: 04/01/2015
- Last Update Date: 09/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547562076
- Enrollment ID: I20151230000904
Medical Identifiers
Medical identifiers for Calissa Nicole Welch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720473234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 8929 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 8929 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | C014686 (North Carolina) | 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. Calissa Nicole Welch allows following entities to bill medicare on her behalf.
Entity Name | Calissa's Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487162178 PECOS PAC ID: 4385990779 Enrollment ID: O20180627000522 |
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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. Calissa Nicole Welch 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 |
Calissa Nicole Welch, LCSW 12141 Old Dulin Farms Way, Charlotte, NC 28215-5208 Ph: (860) 778-5317 | Calissa Nicole Welch, LCSW 12141 Old Dulin Farms Way, Charlotte, NC 28215-5208 Ph: (860) 778-5317 |
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