Carol Madsen Watchorn, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01687 Issued in IA

Practice address

Nseling Practice
915 Pierce St
Sioux City, IA 51101

Phone

(712) 255-0232

Fax

(712) 255-0354

NPI assigned

Oct 22, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Siouxland Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sioux City, IA
  • NPI 1558355305
  NPD

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1124354352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INTEGRATED COUNSELING",
            "address_2": "921 PIERCE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51101",
            "telephone_number": "712-255-0232",
            "fax_number": "712-255-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NSELING PRACTICE",
            "address_2": "915 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51101",
            "telephone_number": "712-255-0232",
            "fax_number": "712-255-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATCHORN",
        "first_name": "CAROL",
        "middle_name": "MADSEN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Jean Wanner, LISW
• William R Wanner, M.D.
• Laurie Warren, P.A.
• Diana J Wassell, BCBA
• Dean Watchorn Newbrey, LISW
• Kerri Lynn Watchorn
• Thomas S Waters, D.O.
• Angela Waugh
• Waverley - Casa de Paz, Inc.
• We Care Wheelchair,Inc

• Clinical Social Worker in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.