Active NPI
Kalon Wright, LCSW
- Clinical Social Worker
- Watsonville, CA
National Provider Identifier
1265846018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107228
- Practice address
- 777 Green Valley Rd
Watsonville, CA 95076-1226 - Phone
- (801) 707-9341
- NPI assigned
- Jun 19, 2014
- Reactivated
- Mar 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107228 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9024006-6005 | UT |
Addresses
Primary practice location
777 Green Valley Rd
Watsonville, CA 95076-1226
Mailing address
777 Green Valley Rd
Watsonville, CA 95076-1226
Phone (801) 707-9341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9024006-6005 | UT | MD | Addiction (Substance Use Disorder) Counselor |
| 107228 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Outdoor Adventures LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Loa, UT
- NPI 1245509918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1265846018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 GREEN VALLEY RD",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950761226",
"telephone_number": "801-707-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 GREEN VALLEY RD",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950761226",
"telephone_number": "801-707-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "KALON",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"deactivation_date": "2023-11-21",
"reactivation_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "107228",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "9024006-6005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.