Individual provider Active NPI

Toni Lynn Watson, LCSW

  • Clinical Social Worker
  • Wittmann, AZ
National Provider Identifier
1043899883
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LCSW-19439OtherAZSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Teris Health Services LLCGroup PAC ID 2163857392, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Jade Health and Wellness LLC CurrentSince Oct 14, 2023 Accepting new patients
Teris Health Services LLC Current Accepting new patients
Teri'S Health Services CurrentSince Aug 1, 2021 Accepting new patients
Devoted Transformations LLC Clinical CurrentSince Dec 23, 2023 Accepting new patients
Oceanbee Wellness, LLC Clinical PastSince Dec 8, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.