Active NPI
Nakia T Watson, LCSW
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1083165054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 092396
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC2000002077 | DC | MD | Clinical Social Worker |
| 30276 | MD | MD | Clinical Social Worker |
| C014732 | NC | MD | Clinical Social Worker |
| 092396 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Columbia, MD
- NPI 1932972825
-
- Clinical Social Worker
- Washington, DC
- NPI 1811762818
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.