Renee Lynn Watters

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12680 Issued in MD

Practice address

611 S Charles St
Baltimore, MD 21230-3801

Phone

(410) 328-2293

Fax

(410) 328-5895

NPI assigned

Aug 8, 2006

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

Other names 1

• Renee Lynn Korbel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215946041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6791 OLD WATERLOO RD APT 718",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757185",
            "telephone_number": "218-791-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303801",
            "telephone_number": "410-328-2293",
            "fax_number": "410-328-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "KORBEL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Watt
• Tenica Watt, CRNP
• Amber Lynn Watters, PA-C, MMS
• Anthony Lamont Watters Jr.
• Monica L Watters, CCC-SLP
• Rose Elaine Watters
• Alexcia Wattie, LMSW
• Ramona Watts Edwards, P.T.A.
• Patricia Watts John
• Watts Staffing Solutions

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.