Individual provider Active NPI

Nakia T Watson, LCSW

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1083165054
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092396 Issued in NY
Practice address
6325 Woodside CT Ste 100-1011
Columbia, MD 21046-1017
Phone
(646) 926-4682
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 092396 NY Primary
Clinical Social Worker 1041C0700X 30276 MD
Clinical Social Worker 1041C0700X C014732 NC
Clinical Social Worker 1041C0700X LC2000002077 DC

Addresses

Primary practice location

6325 Woodside CT Ste 100-1011
Columbia, MD 21046-1017

Mailing address

1717 N St NW Ste 1
Washington, DC 20036-2827
Phone (646) 926-4682

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC2000002077DCMDClinical Social Worker
30276MDMDClinical Social Worker
C014732NCMDClinical Social Worker
092396NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Healed Mind LLC Clinical Current Accepting new patients
My Healed Mind LLC Clinical Current Accepting new patients

Locations

1717 N St NW
Ste 1
Washington, DC 20036
Phone (202) 519-8867

Organizations & group practices 2

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1083165054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N ST NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362827",
            "telephone_number": "646-926-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT STE 100-1011",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461017",
            "telephone_number": "646-926-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "NAKIA",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092396",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30276",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014732",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC2000002077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.