Individual provider Active NPI

Alease T Watson, LCSWR

  • Clinical Social Worker
  • Tonawanda, NY
National Provider Identifier
1063443414
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069316 Issued in NY
Practice address
Alease Watson
884 Brighton Road
Tonawanda, NY 14150
Phone
(716) 491-2194
Fax
(716) 491-2194
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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 069316 NY Primary

Addresses

Primary practice location

Alease Watson
884 Brighton Road
Tonawanda, NY 14150

Mailing address

140 Bird Ave
Buffalo, NY 14213-1109
Phone (716) 883-9209

Other identifiers 1

IdentifierTypeStateIssuer
00688211MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20131024000311 NY Practitioner - Clinical Social Worker 7012142227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health Current Accepting new patients
Nys Office of Mental Health CurrentSince Oct 8, 2024 Accepting new patients
Nys Office of Mental Health CurrentSince Oct 8, 2024 Accepting new patients
Jewish Family Services of Western New York PastSince Oct 1, 1994 Accepting new patients

Locations

400 Forest Ave
Buffalo, NY 14213
Phone (716) 816-2445

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1063443414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BIRD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131109",
            "telephone_number": "716-883-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALEASE WATSON",
            "address_2": "884 BRIGHTON ROAD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14150",
            "telephone_number": "716-491-2194",
            "fax_number": "716-491-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ALEASE",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00688211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.