SARI SUSANNA CARLSON LCSW
NPI 1114483138
Social Worker - Clinical in Santa Monica, CA
About Sari Susanna Carlson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARI SUSANNA CARLSON LCSW (NPI 1114483138) is an individual clinical provider in Santa Monica, California, licensed in California (102456) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southbury, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sari Susanna Carlson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Sari Carlson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Salt Lake City, UT 84119
- Reassigned Medicare billing, Utah enrollment
- 111 clinicians in this Medicare group
Kingston, NY 12401
- Reassigned Medicare billing, New York and Connecticut enrollments
- Medicare enrollment name: Nuvance Health Medical Practice PC
- Also billed through NPI 1437358033 (Connecticut)
- 638 clinicians in this Medicare group
Danbury, CT 06810
- Reassigned Medicare billing, Connecticut enrollment
- 818 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sari Carlson's NPI number?
The NPI number for Sari Carlson is 1114483138. It was assigned to this individual provider in the NPPES registry on February 14, 2019.
Where is Sari Carlson located?
Sari Carlson practices at 2001 Santa Monica Blvd Ste 860W, Santa Monica, CA 90404. The listed phone number is (310) 899-7500.
What is Sari Carlson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Sari Carlson enrolled in Medicare?
Yes. Sari Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sari Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sari Carlson reassigns Medicare benefits to 4 organizations: University Of Utah Behavioral Health Services (Salt Lake City, UT), University Of Utah Pediatric Behavioral Health Services (Salt Lake City, UT), Health Quest Medical Practice, PC (Kingston, NY) and Nuvance Health Medical Practice Ct, Inc. (Danbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sari Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sari Carlson was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sari Susanna Carlson, LCSW · NPI 1114483138
Clinical provider in Santa Monica, California. Individual provider, active in the CMS NPPES registry since February 14, 2019.
## Identity
- **NPI:** 1114483138 (Entity type: Individual)
- **Enumerated:** February 14, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 102456 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 SANTA MONICA BLVD STE 860W, Santa Monica, CA 90404-2189
- **Phone:** (310) 899-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Utah Behavioral Health Services (NPI 1952751513, Salt Lake City, UT); University Of Utah Pediatric Behavioral Health Services (NPI 1821450735, Salt Lake City, UT); Health Quest Medical Practice, PC (NPI 1558906610, Kingston, NY); Nuvance Health Medical Practice Ct, Inc. (NPI 1407898117, Danbury, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 7, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1114483138) · Data from the CMS NPPES public registry.