Active NPI
Daniel E Watford Jr., LCSW
- Clinical Social Worker
- Fort Hood, TX
National Provider Identifier
1093166324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010148
- Practice address
- 36065 Santa Fe Ave
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544 - Phone
- (254) 287-1126
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- 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 | C010148 | NC | Primary |
Addresses
Primary practice location
36065 Santa Fe Ave
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544
Mailing address
36065 Santa Fe Ave
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544
Phone (254) 287-1126
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 |
|---|---|---|---|
| C010148 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1093166324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36065 SANTA FE AVE",
"address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36065 SANTA FE AVE",
"address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-1126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATFORD",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.