| Micah Kevin Carlson, LCSW | |
|
180 Westgate Dr Ste 340, Watsonville, CA 95076-2490 | |
| (831) 768-6736 | |
| Not Available |
| Full Name | Micah Kevin Carlson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 180 Westgate Dr Ste 340, Watsonville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699387092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 101756 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Kevin Carlson, LCSW 3785 Via Nona Marie Ste 108, Carmel, CA 93923-8637 Ph: (951) 743-4283 | Micah Kevin Carlson, LCSW 180 Westgate Dr Ste 340, Watsonville, CA 95076-2490 Ph: (831) 768-6736 |
Frances Eiliana Salgado-chavez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Calabasas Rd, Watsonville, CA 95076 Phone: 831-566-3065 | |
Lizette Ramos, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 567 Auto Center Dr, Watsonville, CA 95076 Phone: 831-724-9100 | |
Cari Browning, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6445 | |
Carlos R Diaz Torrez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Tuttle Ave Apt 1, Watsonville, CA 95076 Phone: 831-254-8833 | |
Johanna Perez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 E Beach Street, Watsonville, CA 95076 Phone: 831-728-0222 Fax: 831-707-2777 | |
Deborah Jane Burton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 W Beach St, Watsonville, CA 95076 Phone: 831-763-8999 | |
Renee Meisner-bogdahn, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 245 E Lake Ave, Watsonville, CA 95076 Phone: 831-688-8856 |