KAVITA CARLSON (LCSW) – Clinical Social Worker, NPI 1013068816

KAVITA CARLSON (LCSW) is a healthcare provider. based in Green bay, Wisconsin. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 1099 (WI). The NPI Number for KAVITA CARLSON (LCSW) is 1013068816

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
KAVITA CARLSON (LCSW)
NPI
1013068816
Phone
(920) 496-4700
Address
PO BOX 19070
Enumeration Date
16 January 2007
Last Update Date
16 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204964700
Graduation Year
1985 (41 years ago)
PAC ID
0547422115
Group Practice PAC ID
5799694675
Professional Enrollment ID
I20120426000340
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KAVITA CARLSON (LCSW)

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543079070

    Phone: (920) 496-4700

    Type: Mailing

  • Vernon Drive, Monkseaton, Whitley Bay, North Tyneside, North East England, England, NE25 8BN, United Kingdom

    GREEN BAY, WI 543045374

    Phone: (920) 496-4700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120426000340IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes9215$0
View full utilization report →

Insurance plans in this area (ZIP 54307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799694675View full group profile
NameSpecialtyState
P O D I A T R YWI
-WI
Family Practice, Sports MedicineWI
-OH
Physical Therapist In Private PracticeWI
-WI
-WI
Internal Medicine, HospitalistWI
-WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What is KAVITA CARLSON (LCSW)'s NPI number?
KAVITA CARLSON (LCSW)'s NPI is 1013068816 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KAVITA CARLSON (LCSW)?
You should see KAVITA CARLSON (LCSW) as active in CMS-hosted NPPES data.
What expertise is attributed to KAVITA CARLSON (LCSW)?
KAVITA CARLSON (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with KAVITA CARLSON (LCSW)?
Directory geography for KAVITA CARLSON (LCSW) centers on Green Bay, Wisconsin.
Does KAVITA CARLSON (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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