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CAROLINA GENTRY LICSW
NPI 1700493137
Social Worker - Clinical in Saint Paul, MN

Active since September 29, 2020PECOS EnrolledAccepts Medicare Assignment
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107(651) 602-7500 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolina Gentry Licsw NPPES

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

CAROLINA GENTRY LICSW (NPI 1700493137) is an individual clinical provider in Saint Paul, Minnesota and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700493137
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLINA GENTRYCredential: LICSW
Location Address153 CESAR CHAVEZ STSaint Paul, MN 55107-2226
Mailing Address317 Main StFarmington, MN 55024-1020
Phone(651) 602-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1700493137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
153 CESAR CHAVEZ ST, Saint Paul, MN 55107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Carolina Gentry Licsw 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 ID8123554391
PECOS Enrollment IDI20241211001896
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 Carolina Gentry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Side Community Health Services, Inc
Same address
Federally Qualified Health Center (FQHC)
153 CESAR CHAVEZ ST
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 101 clinicians in this Medicare group
NPI 1437118619 (651) 222-1816
Life On Purpose Counseling & Neurofeedback Inc
7.2 mi
Clinical
312 COUNTY ROAD D E
Little Canada, MN 55117
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1942708573 (651) 600-7876

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 55107 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 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

JEANNE RANCONE
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816
SHAUN SAVA PA-C
Physician Assistant (Medical)
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 389-2540
DR. JUSTIN LEE ANDERSON PHARMD
Pharmacist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7589
LISA SMITH CNM
Advanced Practice Midwife
153 CESAR CHAVEZ ST, WESTSIDE COMMUNITY HEALTH SERVICES, INC.
W. ST. PAUL, MN 55107
Ramsey County (651) 602-7552
KAREN WOLF
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816
ISETTA PIERRE MA, LMFT
Marriage & Family Therapist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7500
MS. CHELSEA OKORAFOR CNM
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7500
TAMARA JACKMAN
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816

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 Carolina Gentry's NPI number?

The NPI number for Carolina Gentry is 1700493137. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Carolina Gentry located?

Carolina Gentry practices at 153 Cesar Chavez St, Saint Paul, MN 55107. The listed phone number is (651) 602-7500.

What is Carolina Gentry's specialty?

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

Is Carolina Gentry enrolled in Medicare?

Yes. Carolina Gentry 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 Carolina Gentry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Gentry reassigns Medicare benefits to 2 organizations: West Side Community Health Services, Inc (Saint Paul, MN) and Life On Purpose Counseling & Neurofeedback Inc (Little Canada, MN). 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 Carolina Gentry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolina Gentry accept?

Health plans from HealthPartners list Carolina Gentry 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 Carolina Gentry was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.