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Angelica Leanne Carlsen, ASW

Social Worker, Clinical in Burlingame, CA. Individual provider (NPI-1).

NPI number1114788015
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1114788015
Entity type
Individual (NPI-1)
Name
Angelica Leanne Carlsen
Credential
ASW
Sex
Female
Sole proprietor
No
Enumeration date
Jan 17, 2024
Certification date
Apr 4, 2024
Last updated
Apr 4, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical121568CAYes

Practice location

1575 Old Bayshore Hwy Ste 205
Burlingame, CA 94010-1616

Phone 669-200-2709

Mailing address

2010 Chestnut St Apt 107
San Francisco, CA 94123-2747

Phone 714-873-6369

Other practice locations

750 El Camino Real
Burlingame, CA 94010-5005

Phone 714-873-6369

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Burlingame, CA

All 46 Clinical Social Worker providers in Burlingame · All 1,628 providers in Burlingame

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