Active NPI
Toni Lynn Watson, LCSW
- Clinical Social Worker
- Wittmann, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 24334 W Mark LN
Wittmann, AZ 85361-8706 - Phone
- (623) 696-5948
- NPI assigned
- Apr 7, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
24334 W Mark LN
Wittmann, AZ 85361-8706
Mailing address
24334 W Mark LN
Wittmann, AZ 85361-8706
Phone (623) 696-5948
Other practice location 1
15396 N 83rd Ave Ste C102
Peoria, AZ 85381-5627
Phone (623) 696-5948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW-19439 | Other | AZ | STATE OF AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211027003437 | AZ | Practitioner - Clinical Social Worker | 3678961471 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14040 N Cave Creek Rd
Suite 104
Phoenix, AZ 85022-6117
Phone (602) 358-7073
23380 N 61St Dr
Glendale, AZ 85310-5748
24334 W Mark Lane
Wittmann, AZ 85361
Phone (623) 696-5948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jade Health and Wellness LLC | Current | Accepting new patients | |
| Teris Health Services LLC | Current | Accepting new patients | |
| Teri'S Health Services | Current | Accepting new patients | |
| Devoted Transformations LLC | Clinical | Current | Accepting new patients |
| Oceanbee Wellness, LLC | Clinical | Past | Accepting new patients |
Locations
6635 W Happy Valley Rd
Ste A104621
Glendale, AZ 85310
7205 S 51st Ave
Ste 203
Laveen, AZ 85339
Phone (602) 358-7073
15396 N 83rd Ave
Ste C102
Peoria, AZ 85381
Phone (602) 300-1508
14040 N Cave Creek Rd
Ste 108
Phoenix, AZ 85022
Phone (602) 358-7073
14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073
2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248
14040 N Cave Creek Rd
Ste 104
Phoenix, AZ 85022
Phone (602) 358-7073
40 N Swan Rd
Ste 118
Tucson, AZ 85711
Phone (602) 358-7073
Interoperability endpoints
- toni.watson@ths.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Phoenix, AZ
- NPI 1124622733
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1790374833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1043899883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24334 W MARK LN",
"city": "WITTMANN",
"state": "AZ",
"postal_code": "853618706",
"telephone_number": "623-696-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24334 W MARK LN",
"city": "WITTMANN",
"state": "AZ",
"postal_code": "853618706",
"telephone_number": "623-696-5948"
}
],
"practiceLocations": [
{
"address_1": "15396 N 83rd Ave Ste C102",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853815627",
"country_code": "US",
"telephone_number": "623-696-5948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "TONI",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS",
"identifier": "LCSW-19439",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wittmann, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.