Angelica Leanne Carlsen, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121568 Issued in CA

Practice address

1575 Old Bayshore Hwy Ste 205
Burlingame, CA 94010-1616

Phone

(669) 200-2709

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1114788015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CHESTNUT ST APT 107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232747",
            "telephone_number": "714-873-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 OLD BAYSHORE HWY STE 205",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101616",
            "telephone_number": "669-200-2709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940105005",
            "country_code": "US",
            "telephone_number": "714-873-6369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSEN",
        "first_name": "ANGELICA",
        "middle_name": "LEANNE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiovascular Associates of the Peninsula
• Care Dialogue Inc
• Care2Adapt Inc. Dba 101 Mobility
• Carelink Home Health Agency, LLC
• Carelink Home Health Agency, LLC
• Jennifer Lynn Carlson, MD
• Rebecca Matthews Carlson
• Christopher Carmona
• Samuel William Carney
• Stephen J Carney, M.D.

• Clinical Social Worker in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.