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MICAH KEVIN CARLSON LCSW
NPI 1699387092
Social Worker - Clinical in Watsonville, CA

Active since August 18, 2020PECOS EnrolledAccepts Medicare Assignment
180 WESTGATE DR STE 340, WATSONVILLE, CA 95076(831) 768-6736 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 9, 2025, Jul 19, 2024, Jan 3, 2024 and 5 more (8 updates tracked since 2020).

About Micah Kevin Carlson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAH KEVIN CARLSON LCSW (NPI 1699387092) is an individual clinical provider in Watsonville, California, licensed in California (101756) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699387092
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICAH KEVIN CARLSONCredential: LCSW
Location Address180 WESTGATE DR STE 340Watsonville, CA 95076-2490
Mailing Address3785 Via Nona Marie Ste 108Carmel, CA 93923-8637 · (951) 743-4283
Phone(831) 768-6736
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 18, 2020
Last NPPES UpdateMay 9, 20258 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1699387092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 101756
Definition
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.
180 WESTGATE DR STE 340, Watsonville, CA 95076
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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

Micah Kevin 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.

PECOS PAC ID7113396342
PECOS Enrollment IDI20221212000340
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Micah Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
31 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000
Sud Specialty Group - Ca
34 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.97 – $186.69
Typical copayment $0.00 (range $15.74 – $46.67)
Most-billed visit code NA
Established Patient
$77.84 typical visit price
range $21.02 – $153.16
Typical copayment $19.46 (range $5.25 – $38.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Micah Carlson's NPI number?

The NPI number for Micah Carlson is 1699387092. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Micah Carlson located?

Micah Carlson practices at 180 Westgate Dr Ste 340, Watsonville, CA 95076. The listed phone number is (831) 768-6736.

What is Micah Carlson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Micah Carlson enrolled in Medicare?

Yes. Micah 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 Micah Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micah Carlson reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Santa Clara, CA) and Sud Specialty Group - Ca (Santa Clara, CA). 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 Micah 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 Micah Carlson was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.