Active NPI
David L. Watts, LISW, LCSW
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1063638518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-1101288
- Practice address
- 1305 W 80TH St
Cleveland, OH 44102-6204 - Phone
- (440) 409-8690
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 8601 | FL | |
| Clinical Social Worker | 1041C0700X | I-1101288 | OH | Primary |
Addresses
Primary practice location
1305 W 80TH St
Cleveland, OH 44102-6204
Mailing address
54 E 213TH St
Euclid, OH 44123-1065
Phone (440) 409-8690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 8601 | FL | MD | Clinical Social Worker |
| I-1101288 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene a Benedetto | Clinical | Past | Accepting new patients |
| Dr. Steven P. Dingfelder & Assoc., Inc. | Past | Accepting new patients | |
| Dr. Townsend & Associates, P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
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- NPI 1609886696
-
- Clinical Psychologist
- St Augustine, FL
- NPI 1497066344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1063638518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 E 213TH ST",
"city": "EUCLID",
"state": "OH",
"postal_code": "441231065",
"telephone_number": "440-409-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W 80TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441026204",
"telephone_number": "440-409-8690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "LISW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 8601",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-1101288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.