Individual provider Active NPI

Amy L Watts, L.C.S.W

  • Clinical Social Worker
  • Oak Harbor, WA
National Provider Identifier
1023088861
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009059 Issued in IL
Practice address
Naval Hospital
3475 N. Saratoga St
Oak Harbor, WA 98278-0001
Phone
(360) 257-9484
NPI assigned
Jan 24, 2006
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009059 IL Primary

Addresses

Primary practice location

Naval Hospital
3475 N. Saratoga St
Oak Harbor, WA 98278-0001

Mailing address

Naval Hospital
3475 N. Saratoga St
Oak Harbor, WA 98278-0001
Phone (360) 257-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20241014004500 WA Practitioner - Clinical Social Worker 7012154065 Practice locations: Mount Vernon, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

404 S 1St St
Suite 207
Mount Vernon, WA 98273-3866
Phone (360) 424-0400

406 S 1St St
Suite 308
Mount Vernon, WA 98273-3897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149009059ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1023088861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL",
            "address_2": "3475 N. SARATOGA ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982780001",
            "telephone_number": "360-257-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL",
            "address_2": "3475 N. SARATOGA ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982780001",
            "telephone_number": "360-257-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.