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CAROLINE CARLSON LCSW
NPI 1003490251
Social Worker - Clinical in Raleigh, NC

Active since May 12, 2021PECOS EnrolledAccepts Medicare Assignment
16 W MARTIN ST STE 201, RALEIGH, NC 27601(855) 641-1379 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2023, May 12, 2021 (2 updates tracked since 2021).

About Caroline Carlson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE CARLSON LCSW (NPI 1003490251) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C014633) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003490251
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLINE CARLSONCredential: LCSW
Location Address16 W MARTIN ST STE 201Raleigh, NC 27601-2991
Mailing Address16 W Martin St Ste 201Raleigh, NC 27601-2991 · (855) 641-1379
Phone(855) 641-1379
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 12, 2021
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1003490251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C014633✔ Licensed in FL · SW17532
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
16 W MARTIN ST STE 201, Raleigh, NC 27601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Carlson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789093162
PECOS Enrollment IDI20210514002200, I20230509001792
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
216 services21 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
34 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA CLERKIN MSW, LCSW
Social Worker (Clinical)
16 W MARTIN ST STE 201
RALEIGH, NC 27601
Wake County (984) 369-9756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Carlson's NPI number?

The NPI number for Caroline Carlson is 1003490251. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Caroline Carlson located?

Caroline Carlson practices at 16 W Martin St Ste 201, Raleigh, NC 27601. The listed phone number is (855) 641-1379.

What is Caroline Carlson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Caroline Carlson enrolled in Medicare?

Yes. Caroline Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Caroline Carlson accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 2 other insurers list Caroline Carlson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Carlson was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.