Individual provider Active NPI

Sheryleta Ann Watson, MSW, APSW

  • Clinical Social Worker
  • Greenfield, WI
National Provider Identifier
1235083346
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5202 W Whitaker Ave
Greenfield, WI 53220-3534
Phone
(414) 628-5903
NPI assigned
Feb 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X WI Primary

Addresses

Primary practice location

5202 W Whitaker Ave
Greenfield, WI 53220-3534

Mailing address

5202 W Whitaker Ave
Greenfield, WI 53220-3534

Other names 1

  • Leta Ann Watson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527003051 WI Practitioner - Mental Health Counselor 1658841085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeside Counseling Center, LLCGroup PAC ID 3577006758, 16 clinicians

Practice addresses (Care Compare)

5315 Wall St
Suite 200
Madison, WI 53718-1323
Phone (608) 889-7173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Center, LLC Multi-Specialty CurrentSince Apr 14, 2026 Accepting new patients

Locations

5315 Wall St
Ste 200
Madison, WI 53718
Phone (608) 889-7173

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1235083346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 W WHITAKER AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 W WHITAKER AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203534",
            "telephone_number": "414-628-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SHERYLETA",
        "middle_name": "ANN",
        "credential": "MSW, APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETA",
            "last_name": "WATSON",
            "middle_name": "ANN",
            "credential": "MSW, APSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.