Carley Kelcee Agueda-divens, LCSW-C in Baltimore, MD - Medicare Social Worker Provider

Carley Kelcee Agueda-divens, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Baltimore, Maryland. Her current practice location is 130 N Bradford St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 540-8280.

Carley Kelcee Agueda-divens is licensed to practice in Maryland (license number 25887) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073225397.

Contact Information

	Carley Kelcee Agueda-divens, LCSW-C
	130 N Bradford St, Baltimore, MD 21224-1036
	(443) 540-8280
	Not Available

Healthcare Provider's Profile

Full Name	Carley Kelcee Agueda-divens
Gender	Female
Speciality	Social Worker - Clinical
Location	130 N Bradford St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073225397
Provider Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 8729443007
Enrollment ID: I20230421000576

Medical Identifiers

Medical identifiers for Carley Kelcee Agueda-divens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073225397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	25887 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carley Kelcee Agueda-divens allows following entities to bill medicare on her behalf.

Entity Name	Mosaic Community Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134279284 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carley Kelcee Agueda-divens is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carley Kelcee Agueda-divens, LCSW-C 130 N Bradford St, Baltimore, MD 21224-1036 Ph: (443) 540-8280	Carley Kelcee Agueda-divens, LCSW-C 130 N Bradford St, Baltimore, MD 21224-1036 Ph: (443) 540-8280

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Social Worker in Baltimore, MD

Ms. Angela Faith Noppenberger, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2000 Girard Ave, Baltimore, MD 21211 Phone: 410-929-1596
Tara Rice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5146 Park Heights Ave, Suite 1, Baltimore, MD 21215 Phone: 410-664-6264
Jennifer Pope, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 E North Ave Ste 5, Baltimore, MD 21202 Phone: 443-310-3042 Fax: 443-652-5904
Kathryn Petrarca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 E 30th St, Baltimore, MD 21218 Phone: 410-889-0727 Fax: 410-889-0729
Michelle Antoinette Goines, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1522 N Ellamont St, Baltimore, MD 21216 Phone: 410-419-9823
Melissa Franco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6802 Mcclean Blvd, Baltimore, MD 21234 Phone: 410-444-3800
Karen Burd, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4803 Yellowwood Ave, Baltimore, MD 21209 Phone: 443-613-4152

Carley Kelcee Agueda-divens, LCSW-C - Medicare Clinical Social Worker in Baltimore, MD

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

EDMA welcomes 7 new members

HIV/AIDS seen as a gay man's disease, despite growing number of HIV infections in women

ASN Foundation for Kidney Research grants $3M for meritorious research in 2013

Living liver donors have QoL advantage

Study finds AFREZZA comparable to standard of care insulin therapy

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

EDMA welcomes 7 new members

HIV/AIDS seen as a gay man's disease, despite growing number of HIV infections in women

ASN Foundation for Kidney Research grants $3M for meritorious research in 2013

Living liver donors have QoL advantage

Study finds AFREZZA comparable to standard of care insulin therapy

Social Worker in Baltimore, MD