Active NPI
Phoebe Watts, MSW
- Social Worker
- Richmond, CA
National Provider Identifier
1013335660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 575 Berk Ave Apt 2
Richmond, CA 94804-4380 - Phone
- (510) 395-1035
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 36830 | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
575 Berk Ave Apt 2
Richmond, CA 94804-4380
Mailing address
PO Box 1841
Martinez, CA 94553-0841
Phone (510) 395-1035
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36830 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1013335660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1841",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945530841",
"telephone_number": "510-395-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 BERK AVE APT 2",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948044380",
"telephone_number": "510-395-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "PHOEBE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "36830",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.