Andrea Watkins LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014668 Issued in IL

Legal business name

ANDREA WATKINS LCSW

Practice address

175 Olde Half Day Rd
Suite 100-15
Lincolnshire, IL 60069-3061

Phone

(224) 330-7438

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Andrea J Watkins, LCSW

Title

Clinical Social Worker

Phone

(224) 330-7438

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1124483227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD",
            "address_2": "SUITE 100-15",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693061",
            "telephone_number": "224-330-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD",
            "address_2": "SUITE 100-15",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693061",
            "telephone_number": "224-330-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA WATKINS LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "224-330-7438",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.