Cierra Rose Watkins

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW112216429 Issued in NU

Practice address

503 Morgantown Ave Ste 205
Fairmont, WV 26554-4384

Phone

(681) 404-3777

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1194426304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MORGANTOWN AVE STE 205",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MORGANTOWN AVE STE 205",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544384",
            "telephone_number": "681-404-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CIERRA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": "SW112216429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynn Ward, ACNP
• Carla Ware
• Christina M Warren
• Kelly Susan Washington
• Cody Allen Waters
• Desiree Watkins
• Joshua Paul Watkins
• Rachel Dawn Watkins
• Sherry Watkins
• Tyler Scott Watkins

• Social Worker in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.