Mrs Carolyn Worley, LICDC-CS LISW-S is a medicare enrolled "Social Worker" provider in Cincinnati, Ohio. Her current practice location is
2222 Vine St, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 381-5900.
Mrs Carolyn Worley is licensed to practice in Ohio (license number S1450868) 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 1891147682.
Healthcare Provider's Profile
| Full Name | Mrs Carolyn Worley |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 2222 Vine St, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891147682
- Provider Enumeration Date: 07/06/2016
- Last Update Date: 06/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688900392
- Enrollment ID: I20190801001251
Medical Identifiers
Medical identifiers for Mrs Carolyn Worley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891147682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 101139 (Ohio) | Secondary |
| 104100000X | Social Worker | S1450868 (Ohio) | 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. Mrs Carolyn Worley allows following entities to bill medicare on her behalf.
| Entity Name | Talbert House |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619900834
PECOS PAC ID: 1951314319
Enrollment ID: O20060801000414 |
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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. Mrs Carolyn Worley 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 |
|---|
Mrs Carolyn Worley, LICDC-CS LISW-S
2600 Victory Pkwy,
Cincinnati, OH 45206-1711
Ph: (513) 381-5900 | Mrs Carolyn Worley, LICDC-CS LISW-S
2222 Vine St,
Cincinnati, OH 45219-1828
Ph: (513) 381-5900 |
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