MR. CARL CHRISTIAN HERTENSTEIN LCSW
NPI 1841477262
Social Worker - Clinical in Lake Mary, FL

NPI Status: Active since January 28, 2008

Contact Information

3256 W LAKE MARY BLVD
SUITE 1100
LAKE MARY, FL
ZIP 32746
Phone: (407) 416-5611
Fax: (386) 788-3600

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  • Individual
  • Male
  • Years of Experience 35
  • Social Worker
  • Clinical
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About CARL HERTENSTEIN

Carl Hertenstein is a provider established in Lake Mary, Florida and his medical specialization is Social Worker with a focus in clinical with more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1841477262 assigned on January 2008. The practitioner's primary taxonomy code is 1041C0700X with license number SW 2941 (FL). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1841477262
Provider Name
MR. CARL CHRISTIAN HERTENSTEIN LCSW
Gender
Male
Entity Type
Individual
Location Address
3256 W LAKE MARY BLVD SUITE 1100 LAKE MARY, FL 32746
Location Phone
(407) 416-5611
Location Fax
(386) 788-3600
Mailing Address
107 BRANDIWOOD CT DEBARY, FL 32713
Mailing Phone
(386) 490-5745
Mailing Fax
(386) 788-3600
Medical School Name
OTHER
Graduation Year
1989
Is Sole Proprietor?
Yes
Enumeration Date
01-28-2008
Last Update Date
10-15-2010
Code Navigator

A clinical social worker like Carl Hertenstein 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.

Carl Hertenstein is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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.
SW 2941
License State
FL
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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

SW 2941 (FL)
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

SW 2941 (FL)
3101YP1600XBehavioral Health & Social Service Providers

Counselor
Pastoral

SW 2941 (FL)
4101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

SW 2941 (FL)
5104100000XBehavioral Health & Social Service Providers

Social Worker

SW 2941 (FL)
6106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

SW 2941 (FL)

Insurance Plans Accepted

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

  • Medicare

  • Medicaid


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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AK122MEDICARE PIN (08)FL 
104100000XOTHER (01)FLTAXONOMY CODE

PECOS Enrollment and Medicare Participation Status

Carl Hertenstein 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

  • PECOS PAC ID: 8921177023

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231212001246

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Reviews for MR. CARL CHRISTIAN HERTENSTEIN LCSW

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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.
1841477262
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28818714212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 8 + 7 + 1 + 4 + 2 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1841477262 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669639530FAMILY GUIDANCE AND COUNSELING CENTER OF CENTRAL FLORIDA LLC
Organization
Social Worker (Clinical)3256 W LAKE MARY BLVD SUITE 1100
LAKE MARY, FL 32746
(407) 416-5611
1720388408 ELIZABETH HERTENSTEIN LMFT
Individual
Marriage & Family Therapist3256 W LAKE MARY BLVD SUITE 1100
LAKE MARY, FL 32746
(407) 416-5611
1043955271 KAREN BRUBAKER
Individual
Counselor (Mental Health)3256 W LAKE MARY BLVD
LAKE MARY, FL 32746
(407) 429-9030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841477262, enumerated in the NPI registry as an "individual" on January 28, 2008

The provider is located at 3256 W Lake Mary Blvd Suite 1100 Lake Mary, Fl 32746 and the phone number is (407) 416-5611

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider has more than 35 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on January 28, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.