Active NPI
Tara Nicole Watt, LCSW
- Clinical Social Worker
- Altoona, PA
National Provider Identifier
1083049647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020311
- Practice address
- 2907 Pleasant Valley Blvd
Altoona, PA 16602 - Phone
- (814) 943-8164
- Fax
- (724) 465-6379
- NPI assigned
- Sep 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW020311 | PA | Primary |
Addresses
Primary practice location
2907 Pleasant Valley Blvd
Altoona, PA 16602
Mailing address
2907 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 943-8164
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1083049647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 PLEASANT VALLEY BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "16602",
"telephone_number": "814-943-8164",
"fax_number": "724-465-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 PLEASANT VALLEY BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "16602",
"telephone_number": "814-943-8164",
"fax_number": "724-465-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "TARA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.