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ANGELICA LEANNE CARLSEN ASW
NPI 1114788015
Social Worker - Clinical in Burlingame, CA

Active since January 17, 2024PECOS Enrolled
1575 OLD BAYSHORE HWY STE 205, BURLINGAME, CA 94010(669) 200-2709 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angelica Leanne Carlsen Asw NPPES

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

ANGELICA LEANNE CARLSEN ASW (NPI 1114788015) is an individual clinical provider in Burlingame, California, licensed in California (121568) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Burlingame.

NPPES Registry Identity

NPI1114788015
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANGELICA LEANNE CARLSENCredential: ASW
Location Address1575 OLD BAYSHORE HWY STE 205Burlingame, CA 94010-1616
Mailing Address2010 Chestnut St Apt 107San Francisco, CA 94123-2747 · (714) 873-6369
Phone(669) 200-2709
Sole ProprietorNo
Enumeration DateJanuary 17, 2024
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1114788015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 121568
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.
1575 OLD BAYSHORE HWY STE 205, Burlingame, CA 94010
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Secondary Practice Location 1

Location 1750 El Camino RealBurlingame, CA 94010-5005 · Phone (714) 873-6369

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelica Leanne Carlsen Asw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Angelica Carlsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
32 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 2

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

MRS. CAROLINE CLAIRE MOREY RDN
Dietitian, Registered
1575 OLD BAYSHORE HWY STE 205
BURLINGAME, CA 94010
San Mateo County (763) 568-8602
LOS GATOS THERAPY CENTER
Clinic/Center (Adolescent and Children Mental Health)
1575 OLD BAYSHORE HWY STE 205
BURLINGAME, CA 94010
San Mateo County (669) 254-4852

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 Angelica Carlsen's NPI number?

The NPI number for Angelica Carlsen is 1114788015. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Where is Angelica Carlsen located?

Angelica Carlsen practices at 1575 Old Bayshore Hwy Ste 205, Burlingame, CA 94010. The listed phone number is (669) 200-2709.

What is Angelica Carlsen's specialty?

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

Is Angelica Carlsen enrolled in Medicare?

Yes. Angelica Carlsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angelica Carlsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Carlsen reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelica Carlsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angelica Carlsen was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.