Individual provider Active NPI

Rakiyah Marie Watson, LCSW

  • Clinical Social Worker
  • Bellaire, TX
National Provider Identifier
1083347561
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64835 Issued in TX
Practice address
6500 West Loop S Ste 200F
Bellaire, TX 77401-3535
Phone
(713) 486-2900
NPI assigned
Jul 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 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 64835 TX Primary

Addresses

Primary practice location

6500 West Loop S Ste 200F
Bellaire, TX 77401-3535

Mailing address

6500 West Loop S Ste 200F
Bellaire, TX 77401-3535
Phone (407) 267-6229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240215002257 TX Practitioner - Clinical Social Worker 4880038082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64835TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jan 1, 2024 Accepting new patients
Ut Physicians CurrentSince Jan 1, 2024 Accepting new patients

Locations

6500 West Loop S
#200F
Bellaire, TX 77401
Phone (713) 572-8122

6500 West Loop S
Ste 200F
Bellaire, TX 77401
Phone (713) 486-2900

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

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": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1083347561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200F",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535",
            "telephone_number": "407-267-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200F",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535",
            "telephone_number": "713-486-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RAKIYAH",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.