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MARY CHI CARLISLE LCSW
NPI 1205062932
Social Worker - Clinical in Lutz, FL

Active since June 09, 2009PECOS Enrolled
16707 WINDSOR PARK DR, LUTZ, FL 33549(813) 367-7733 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Chi Carlisle Lcsw NPPES

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

MARY CHI CARLISLE LCSW (NPI 1205062932) is an individual clinical provider in Lutz, Florida, licensed in Florida (SW9443) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205062932
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY CHI CARLISLECredential: LCSW
Location Address16707 WINDSOR PARK DRLutz, FL 33549-6848
Mailing Address16707 Windsor Park DrLutz, FL 33549-6848 · (813) 367-7733
Phone(813) 367-7733
Sole ProprietorYes
Enumeration DateJune 9, 2009
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1205062932 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 FL · SW9443
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.
16707 WINDSOR PARK DR, Lutz, FL 33549
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Other Names 1

Former Name (1)Mary Chi Frank

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Chi Carlisle Lcsw 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 Mary Carlisle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doctor On Demand Professionals P C
2,397 mi
Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group
NPI 1174931448 (800) 997-6196

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 33549 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Mary Carlisle's NPI number?

The NPI number for Mary Carlisle is 1205062932. It was assigned to this individual provider in the NPPES registry on June 9, 2009. The provider is also known as Mary Chi Frank.

Where is Mary Carlisle located?

Mary Carlisle practices at 16707 Windsor Park Dr, Lutz, FL 33549. The listed phone number is (813) 367-7733.

What is Mary Carlisle's specialty?

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

Is Mary Carlisle enrolled in Medicare?

Yes. Mary Carlisle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Carlisle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Carlisle reassigns Medicare benefits to Doctor On Demand Professionals P C (San Francisco, 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 Mary Carlisle'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 Mary Carlisle was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.