MARGARITA CARSON LCSW, LMSW
NPI 1730651712
Social Worker - Clinical in Pleasantville, NY

NPI Status: Active since January 01, 2019

Contact Information

1075 BROADWAY
PLEASANTVILLE, NY
ZIP 10570
Phone: (914) 907-4810

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Social Worker
Clinical
Accepts Insurance
PECOS Enrolled
Opted-Out Medicare

About MARGARITA CARSON

This page provides the complete NPI Profile along with additional information for Margarita Carson, a provider established in Pleasantville, New York with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1730651712 assigned on January 2019. The practitioner's primary taxonomy code is 1041C0700X with license number 089043 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1730651712
Provider Name: MARGARITA CARSON LCSW, LMSW
Gender: Female
Entity Type: Individual
Location Address: 1075 BROADWAY PLEASANTVILLE, NY 10570
Location Phone: (914) 907-4810
Mailing Address: 50 MEMORIAL PLZ UNIT 212 PLEASANTVILLE, NY 10570
Mailing Phone: (914) 907-4810
Is Sole Proprietor?: No
Enumeration Date: 01-01-2019
Last Update Date: 10-31-2022
Code Navigator

A clinical social worker like Margarita Carson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Margarita Carson opted out of Medicare effective on 06-09-2021 until 06-09-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: 089043
License State: NY
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	1041C0700X	Behavioral Health & Social Service Providers	Social Worker Clinical	P14192 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 12 - HMO
Gold 8 - HMO
Gold 8 with Rx Copay - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 1 with Rx Copay and Adult Vision Services - HMO
Silver 12 with first 4 free PCP or MH visits - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Margarita Carson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-09-2021
Opt-Out End Date: 06-09-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10570 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

Average New Patient Price $0
Minimum New Patient Price $67.4
Maximum New Patient Price $203.53

Average New Patient Copayment $0
Minimum New Patient Copayment $16.85
Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $83.44
Minimum Established Patient Price $21.66
Maximum Established Patient Price $164.45

Average Established Patient Copayment $20.86
Minimum Established Patient Copayment $5.41
Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	3	0	6	5	1	7	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	6	0	12	5	2	7	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 2 + 5 + 2 + 7 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1730651712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

PATRICIA LAWRENCE L.C.S.W.

Social Worker

(Clinical)

1075 BROADWAY
PLEASANTVILLE, NY
ZIP 10570

About MARGARITA CARSON

Location Map

Specialty - Primary Taxonomy

Social Worker Clinical

Secondary Taxonomies

Social Worker Clinical

Insurance Plans Accepted

Molina Healthcare

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Opted-Out of Medicare? Yes

Opt-Out Effective Date: 06-09-2021

Opt-Out End Date: 06-09-2025

Eligible to Order and Refer? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): No

Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for MARGARITA CARSON LCSW, LMSW

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Margarita Carson's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Margarita Carson accept?

Social Worker
Clinical