Larry Dan Watson, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04245 Issued in TX

Practice address

604 Gwyndellons LN
Grand Prairie, TX 75052-3614

Phone

(972) 740-5422

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1124227814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 GWYNDELLONS LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523614",
            "telephone_number": "972-740-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 GWYNDELLONS LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523614",
            "telephone_number": "972-740-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LARRY",
        "middle_name": "DAN",
        "name_prefix": "Mr.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "04245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essence Watkins
• Gary Watkins, PA
• Joseph Ashley Watkins
• Washley Watley, MS, QMHP-CS
• Clesandra Watson-Robertson, DC
• Brandy Toyai Watts, LPC
• We Shine Inc.
• Amber Rae Weaver, COTA
• Lakendra Shardae Weaver, LPC-A
• Mary Ann Weaver, MD

• Clinical Social Worker in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.