Micah Kevin Carlson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101756 Issued in CA

Practice address

180 Westgate Dr Ste 340
Watsonville, CA 95076-2490

Phone

(831) 768-6736

NPI assigned

Aug 18, 2020

Last updated

May 9, 2025By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Clinical

  Medicare reassignment NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1699387092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 VIA NONA MARIE STE 108",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238637",
            "telephone_number": "951-743-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WESTGATE DR STE 340",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762490",
            "telephone_number": "831-768-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MICAH",
        "middle_name": "KEVIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://healthy.kaiserpermanente.org/northern-california/facilities/Watsonville-Medical-Offices-329881/departments/behavioral-mental-health-dlp-163193",
            "affiliation": "N",
            "endpointDescription": "Department Website",
            "address_1": "180 Westgate Dr Ste 340",
            "city": "Watsonville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950762490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Steven Carin, DDS
• Manuel Albert Carin, DDS
• Haley Carl
• Anna Luisa Carlile
• Brendt D. Carlson, MD
• Michelle Leigh Carr-Frahm, PSY.D.
• Amanda Carranco
• Elida Carranza-Martinez
• Lea Carrasco
• Matthew Carreon, PT

• Clinical Social Worker in Watsonville, CA
• Providers in Watsonville, 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 May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.