Individual provider Active NPI

Natalia Michaelson

  • Clinical Social Worker
  • RSM, CA
National Provider Identifier
1699134429
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127094 Issued in CA
Practice address
PO Box 80562
RSM, CA 92688-0562
Phone
(949) 328-6986
NPI assigned
Feb 22, 2016
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 127094 CA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

PO Box 80562
RSM, CA 92688-0562

Mailing address

PO Box 80562
RSM, CA 92688-0562

Other practice location 1

180 E Main St Ste 203
Tustin, CA 92780-4414
Phone (949) 328-6986

Other practice location 2

450 Bauchet St
Los Angeles, CA 90012-2907
Phone (213) 473-1713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 20, 2025 through Oct 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
127094CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Natalia Michaelson Licensed Clinical Social Worker Inc Clinical CurrentSince Oct 5, 2025 Accepting new patients

Locations

26131 Marguerite Pkwy
Ste D
Mission Viejo, CA 92692
Phone (949) 304-0911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1699134429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80562",
            "city": "RSM",
            "state": "CA",
            "postal_code": "926880562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 80562",
            "city": "RSM",
            "state": "CA",
            "postal_code": "926880562",
            "telephone_number": "949-328-6986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927804414",
            "country_code": "US",
            "telephone_number": "949-328-6986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Bauchet St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900122907",
            "country_code": "US",
            "telephone_number": "213-473-1713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "NATALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127094",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in RSM, CA

Sources for this page

Verify at the official NPI Registry.