Carl M. Carlson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 19529 Issued in CA

Practice address

9 Highland Cir
Chico, CA 95926

Phone

(530) 949-5313

Fax

(530) 892-0488

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1336204080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HIGHLAND CIR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261415",
            "telephone_number": "530-949-5313",
            "fax_number": "530-892-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HIGHLAND CIR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95926",
            "telephone_number": "530-949-5313",
            "fax_number": "530-892-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Highland Cir",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "95926",
            "country_code": "US",
            "telephone_number": "530-949-5313",
            "fax_number": "530-892-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CARL",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 19529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "LCS195290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Carey
• Caring Choices Inc.
• Renee Marie Carini, NP
• Shirley Carlquist, LVN
• Beverley Ruth Carlson
• Jeffrey Brian Carlson, D.O.
• Rhonda Louise Carlson, M.D.
• Tiffany Carlson, DO
• Mitchell Carluccio
• Kelly Barton Carmack

• Clinical Social Worker in Chico, CA
• Providers in Chico, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.