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CARLA STARR LCSW
NPI 1285271791
Social Worker - Clinical in Oglala, SD

Active since December 03, 2019PECOS EnrolledAccepts Medicare Assignment
963 LONEMAN CT, OGLALA, SD 57764(716) 864-4726 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2026, Jul 13, 2022, Dec 3, 2019 (3 updates tracked since 2019).

About Carla Starr Lcsw NPPES

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

CARLA STARR LCSW (NPI 1285271791) is an individual clinical provider in Oglala, South Dakota, licensed in South Dakota (5242) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1285271791
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLA STARRCredential: LCSW
Location Address963 LONEMAN CTOglala, SD 57764-3076
Mailing AddressPo Box 568Oglala, SD 57764-0568 · (716) 864-4726
Phone(716) 864-4726
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 3, 2019
Last NPPES UpdateApril 21, 20233 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1285271791 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 SD · 5242
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 ListedSocial WorkerTaxonomy 104100000X
963 LONEMAN CT, Oglala, SD 57764
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, UnitedHealthcare, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carla Starr 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 ID7416313689
PECOS Enrollment IDI20230512000783, I20231004003152
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 Reassignments

2

Medicare enrollment records show Carla Starr reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rapid City Counseling Inc.
67 mi
Adult Mental Health
909 SAINT JOSEPH ST STE 201
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 4 clinicians in this Medicare group
NPI 1780058487 (605) 299-9100
Great Plains Tribal Chairmen's Health Board
67 mi
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
NPI 1376105452 (605) 721-1922

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 57764 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 $55.52 – $167.23
Typical copayment $0.00 (range $13.88 – $41.80)
Most-billed visit code NA
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 Carla Starr's NPI number?

The NPI number for Carla Starr is 1285271791. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Carla Starr located?

Carla Starr practices at 963 Loneman Ct, Oglala, SD 57764. The listed phone number is (716) 864-4726.

What is Carla Starr's specialty?

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

Is Carla Starr enrolled in Medicare?

Yes. Carla Starr 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.

Which organizations bill Medicare for Carla Starr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Starr reassigns Medicare benefits to 2 organizations: Rapid City Counseling Inc. (Rapid City, SD) and Great Plains Tribal Chairmen's Health Board (Rapid City, SD). Each 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 Carla Starr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Starr accept?

Health plans from Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Carla Starr 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 Carla Starr was last updated on April 21, 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.