SHAKARI CARSON LCSW
NPI 1063148690
Social Worker - Clinical in Redmond, OR

Active since July 26, 2022PECOS EnrolledAccepts Medicare Assignment
244 NW KINGWOOD AVE, REDMOND, OR 97756(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shakari Carson Lcsw NPPES

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

SHAKARI CARSON LCSW (NPI 1063148690) is an individual clinical provider in Redmond, Oregon, licensed in Oregon (L16679) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063148690
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAKARI CARSONCredential: LCSW
Location Address244 NW KINGWOOD AVERedmond, OR 97756-1688
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565
Fax(541) 322-7565
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 26, 2022
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1063148690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L16679
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
244 NW KINGWOOD AVE, Redmond, OR 97756

Accepted 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

Shakari Carson 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 ID1759899420
PECOS Enrollment IDI20250804002715
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 15

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

Case Manager/Care Coordinator
244 NW KINGWOOD AVE
REDMOND, OR 97756
Counselor (Mental Health)
244 NW KINGWOOD AVE
REDMOND, OR 97756
Case Manager/Care Coordinator
244 NW KINGWOOD AVE
REDMOND, OR 97756
Counselor (Mental Health)
244 NW KINGWOOD AVE
REDMOND, OR 97756
Marriage & Family Therapist
244 NW KINGWOOD AVE
REDMOND, OR 97756
Counselor (Mental Health)
244 NW KINGWOOD AVE
REDMOND, OR 97756
Counselor (Professional)
244 NW KINGWOOD AVE
REDMOND, OR 97756
Social Worker (Clinical)
244 NW KINGWOOD AVE
REDMOND, OR 97756

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 Shakari Carson's NPI number?

The NPI number for Shakari Carson is 1063148690. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Shakari Carson located?

Shakari Carson practices at 244 NW Kingwood Ave, Redmond, OR 97756. The listed phone number is (541) 322-7500.

What is Shakari Carson's specialty?

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

Is Shakari Carson enrolled in Medicare?

Yes. Shakari Carson 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 Shakari Carson accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Shakari Carson 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 Shakari Carson was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.