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CYNTHIA L CARNES LCSW
NPI 1326670167
Social Worker - Clinical in Bradenton, FL

Active since February 10, 2020PECOS EnrolledAccepts Medicare Assignment
3320 VIVIENDA BLVD, BRADENTON, FL 34207(616) 644-1006 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Mar 13, 2026, Feb 10, 2020 (3 updates tracked since 2020).

About Cynthia L Carnes Lcsw NPPES

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

CYNTHIA L CARNES LCSW (NPI 1326670167) is an individual clinical provider in Bradenton, Florida, licensed in Florida (SW17063) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326670167
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCYNTHIA L CARNESCredential: LCSW
Location Address3320 VIVIENDA BLVDBradenton, FL 34207
Mailing Address3320 Vivienda BlvdBradenton, FL 34207 · (616) 644-1006
Phone(616) 644-1006
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 10, 2020
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1326670167 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 FL · SW17063✔ Licensed in AZ · LCSW-22983✔ Licensed in MO · 2025014947✔ Licensed in AL · 6837C✔ Licensed in IN · 34012192A
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.
3320 VIVIENDA BLVD, Bradenton, FL 34207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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

Cynthia L Carnes 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 ID1254769227
PECOS Enrollment IDI20200325002887
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

3

Medicare enrollment records show Cynthia Carnes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Behavioral Care Of North Carolina, PC
8.6 mi
Counseling
1090 S TAMIAMI TRL
Sarasota, FL 34236
  • Reassigned Medicare billing, Florida enrollment
  • 124 clinicians in this Medicare group
NPI 1033984448 (941) 363-0878
Cotler Healthcare & Development Inc.
156 mi
Mental Health (Including Community Mental Health Center)
11120 S CROWN WAY STE 1
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group
NPI 1225075047 (561) 790-1191
Mental Health Specialty Group PA
628 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

Areas of Expertise CMS Part B claims 2

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.
134 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.
31 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34207 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 Cynthia Carnes's NPI number?

The NPI number for Cynthia Carnes is 1326670167. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Cynthia Carnes located?

Cynthia Carnes practices at 3320 Vivienda Blvd, Bradenton, FL 34207. The listed phone number is (616) 644-1006.

What is Cynthia Carnes's specialty?

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

Is Cynthia Carnes enrolled in Medicare?

Yes. Cynthia Carnes 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 Cynthia Carnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Carnes reassigns Medicare benefits to 3 organizations: Optum Behavioral Care Of North Carolina, PC (Sarasota, FL), Cotler Healthcare & Development Inc. (Wellington, FL) and Mental Health Specialty Group PA (Durham, NC). 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 Cynthia Carnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Carnes accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Cynthia Carnes 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 Cynthia Carnes was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.