CAROL T GALLEGOS
NPI 1386399012
Social Worker - Clinical in Arcadia, FL

Active since February 22, 2022PECOS EnrolledAccepts Medicare Assignment
725 N 12TH AVE, ARCADIA, FL 34266(863) 494-1242(863) 491-0466 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol T Gallegos NPPES

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

CAROL T GALLEGOS (NPI 1386399012) is an individual clinical provider in Arcadia, Florida and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386399012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROL T GALLEGOS
Location Address725 N 12TH AVEArcadia, FL 34266-8752
Mailing Address700 8th Ave W Ste 101Palmetto, FL 34221-4737 · (941) 776-4000 · Fax (941) 845-4963
Fax(863) 491-0466
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1386399012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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
Also ListedSocial WorkerTaxonomy 104100000X
725 N 12TH AVE, Arcadia, FL 34266

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

Carol T Gallegos 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 ID8729472154
PECOS Enrollment IDI20220301002885
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

4

Medicare enrollment records show Carol Gallegos reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
Hospitalist
2730 W WILDER AVE
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 129 clinicians in this Medicare group
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
Hospitalist
14766 WASHINGTON AVE
San Leandro, CA 94578
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group

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, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
181 services80 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
51 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34266 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.

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.

Student in an Organized Health Care Education/Training Program
725 N 12TH AVE
ARCADIA, FL 34266
Counselor (Mental Health)
725 N 12TH AVE
ARCADIA, FL 34266
Social Worker (Clinical)
725 N 12TH AVE
ARCADIA, FL 34266
Nurse Practitioner (Psychiatric/Mental Health)
725 N 12TH AVE
ARCADIA, FL 34266
Social Worker
725 N 12TH AVE
ARCADIA, FL 34266
Psychiatry & Neurology (Geriatric Psychiatry)
725 N 12TH AVE
ARCADIA, FL 34266
Social Worker (Clinical)
725 N 12TH AVE
ARCADIA, FL 34266
Social Worker
725 N 12TH AVE
ARCADIA, FL 34266

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 Carol Gallegos's NPI number?

The NPI number for Carol Gallegos is 1386399012. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Where is Carol Gallegos located?

Carol Gallegos practices at 725 N 12th Ave, Arcadia, FL 34266. The listed phone number is (863) 494-1242.

What is Carol Gallegos's specialty?

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

Is Carol Gallegos enrolled in Medicare?

Yes. Carol Gallegos 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 Carol Gallegos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Gallegos reassigns Medicare benefits to 4 organizations: Mcr Health, Inc. (Parrish, FL), Florida Post Acute Medical Services 1 PA (Tampa, FL), Cs Pacs 3 Southeast, LLC (Bluefield, WV) and Ca Pacs 2 Medical Group Inc (San Leandro, CA). 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 Carol Gallegos'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 Carol Gallegos was last updated on February 22, 2022. 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.