Active NPI
Lora J Watkins, LCSW
- Clinical Social Worker
- Herriman, UT
National Provider Identifier
1043485857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58506
- Practice address
- 14217 S Tempest Ridge Cir
Herriman, UT 84096-1873 - Phone
- (152) 010-6219
- Fax
- (844) 903-2824
- NPI assigned
- Apr 23, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5208-C | NV | |
| Clinical Social Worker | 1041C0700X | CSW.09926552 | CO | |
| Clinical Social Worker | 1041C0700X | 58506 | TX | Primary |
Addresses
Primary practice location
14217 S Tempest Ridge Cir
Herriman, UT 84096-1873
Mailing address
14217 S Tempest Ridge Cir
Herriman, UT 84096-1873
Phone (915) 201-0621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09926552 | CO | MD | Clinical Social Worker |
| 5208-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1043485857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14217 S TEMPEST RIDGE CIR",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840961873",
"telephone_number": "915-201-0621",
"fax_number": "844-903-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14217 S TEMPEST RIDGE CIR",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840961873",
"telephone_number": "152-010-6219",
"fax_number": "844-903-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "LORA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "5208-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09926552",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.