Active NPI
Michael Patrick Barrett, MBA, MSW, ASW
- Social Worker
- Nevada City, CA
National Provider Identifier
1962043620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW126156
- Practice address
- 24077 Ca-49
Nevada City, CA 95959 - Phone
- (530) 265-9057
- NPI assigned
- Oct 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW85848 | CA | |
| Social Worker | 104100000X | ASW126156 | CA | Primary |
Addresses
Primary practice location
24077 Ca-49
Nevada City, CA 95959
Mailing address
2201 Francisco Dr Ste 140-474
El Dorado Hills, CA 95762-3713
Phone (916) 990-2996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477760874 | Medicaid | CA |
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW85848 | CA | MD | Mental Health Counselor |
| ASW126156 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Park Counseling Center | Past | Accepting new patients | |
| Cameron Park Counseling Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Point of Service
- Cameron Park, CA
- NPI 1093104325
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cameron Park, CA
- NPI 1477760874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1962043620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 FRANCISCO DR STE 140-474",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957623713",
"telephone_number": "916-990-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24077 CA-49",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "95959",
"telephone_number": "530-265-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MBA, MSW, ASW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-03",
"last_updated": "2025-02-25",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW85848",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW126156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477760874",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.