Individual provider Active NPI

Courtney Beth Watkins, MSW, LISW

  • Clinical Social Worker
  • Elyria, OH
National Provider Identifier
1174399398
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2608275 Issued in OH
Practice address
2100 N Ridge Rd
Elyria, OH 44035-1241
Phone
(440) 324-1300
Fax
(440) 277-0409
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 I.2608275 OH Primary

Addresses

Primary practice location

2100 N Ridge Rd
Elyria, OH 44035-1241

Mailing address

2100 N Ridge Rd
Elyria, OH 44035-1241
Phone (440) 324-1300

Other names 1

  • Courtney Beth Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13312 W Lake Rd
Vermilion, OH 44089-3062

4700 Rockside Rd
Suite 135
Independence, OH 44131-2148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2310009OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1174399398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351241",
            "telephone_number": "440-324-1300",
            "fax_number": "440-277-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351241",
            "telephone_number": "440-324-1300",
            "fax_number": "440-277-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "COURTNEY",
        "middle_name": "BETH",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2608275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "JONES",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.