Carolina Arenas, LCSW
Individual provider Active NPI Clinical Social Worker · Crescent City, CA
NPI 1639745953 · NPPES record last updated Apr 26, 2022
Key facts
- NPI
- 1639745953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 107353 (CA)
- Practice address
- 550 E Washington Blvd Ste 100
Crescent City, CA 95531-8161 - Phone
- (707) 465-6925
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Open Door Community Health Centers
Practice addresses (Care Compare)
550 E Washington Blvd
Crescent City, CA 95531-8160
Phone (707) 465-6925
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109004359 | CA | Practitioner - Clinical Social Worker | 5496106916 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Open Door Community Health Centers | Current |
Accepting new patients |
Locations
1275 8th St
Arcata, CA 95521
550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636
550 E Washington Blvd
Ste 100
Crescent City, CA 95531
Phone (707) 465-6925
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107353 | CA | Yes |
Addresses
Primary practice location
550 E Washington Blvd Ste 100
Crescent City, CA 95531-8161
Mailing address
1275 8TH St
Arcata, CA 95521-5770
Phone (707) 826-8633
Other providers in Crescent City, CA
- Susan Margaret Andrews
- Dominic Omar Ansari
- Applied Intervention
- Gustavo Chavez Aragones
- David Linn Archambault
- Avery Armstrong
- Mojgan Arshi
- Elizabeth Michelle Arvonen
- Assal Aslani
- Linda D Athey
All providers in Crescent City, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.