Mindy Watson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60590188 Issued in WA

Practice address

10623 E Sprague Ave Ste B-4
Spokane Valley, WA 99206-3699

Phone

(509) 289-4261

NPI assigned

Jul 18, 2017

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)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Above and Beyond Care Inc

  • Clinical Social Worker
  • Spokane Valley, WA
  • NPI 1841713179
  NPD Authorized official
• Grassroots Therapy Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
  • NPI 1215379086

  Clinical

  NPD (past)

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1215450549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10623 E SPRAGUE AVE STE B-4",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063699",
            "telephone_number": "509-289-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10623 E SPRAGUE AVE STE B-4",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063699",
            "telephone_number": "509-289-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MINDY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60590188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Czkar Matthew Washington
• Steven Michael Wasil, PHARMD
• Heather Lea Watkins, RD
• Raylyn Watkins
• Carolyn Nicole Watling
• Tiffany Ann Wax, LMT
• Taylor Wayman, RN
• Dana M Weary, DC
• Lewis C Weaver, MD
• Madeline Hope Weaver

• Clinical Social Worker in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.