Individual provider Active NPI

Elizabeth Watson, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1265869507
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11226 Issued in FL
Practice address
2365 Centerville Rd Ste 11
Tallahassee, FL 32308-4317
Phone
(850) 425-5025
Fax
(850) 425-5026
NPI assigned
Oct 1, 2013
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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 SW11226 FL Primary

Addresses

Primary practice location

2365 Centerville Rd Ste 11
Tallahassee, FL 32308-4317

Mailing address

2365 Centerville Rd
Tallahassee, FL 32308-4317
Phone (850) 425-5025

Other practice location 1

292 W Dogwood St
Monticello, FL 32344-1472
Phone (850) 425-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180215001430 FL Practitioner - Clinical Social Worker 4981981909 Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Way Counseling Clinical Current Accepting new patients
Psychological and Family Consultants Inc PastSince Aug 14, 2018 Accepting new patients

Locations

1254 Ocala Rd
Tallahassee, FL 32304
Phone (850) 575-8954

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1265869507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084317",
            "telephone_number": "850-425-5025",
            "fax_number": "850-425-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 CENTERVILLE RD STE 11",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084317",
            "telephone_number": "850-425-5025",
            "fax_number": "850-425-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 W Dogwood St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "FL",
            "postal_code": "323441472",
            "country_code": "US",
            "telephone_number": "850-425-5025",
            "fax_number": "850-425-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.