Angie Lorraine Watson-Griffin, DSW, DAC, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5883 Issued in LA

Practice address

2500 Rike Dr
Pine Bluff, AR 71603-3937

Phone

(870) 534-1834

Fax

(870) 534-5798

NPI assigned

Sep 30, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Mrs. Angie Lorraine Brown Former name

Medicare fee-for-service enrollment

Enrolled in LA, AR2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeast Arkansas Behavioral Healthcare System IncGroup PAC ID 0042292674, 16 clinicians

Freshly Renewed TransitionalGroup PAC ID 9436544574, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angiewatson@tdh.allscriptsdirect.net

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.

• Freshly Renewed Transitional

  • Substance Abuse Rehabilitation Facility
  • Little Rock, AR
  • NPI 1881251510

  Clinical

  Medicare reassignment Care Compare group NPD
• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Pine Bluff, AR
  • NPI 1457398547

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  LA

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Southeast Arkansas Behavioral Healthcare System

  • Community/Behavioral Health Agency
  • Star City, AR
  • NPI 1235384009
  NPD (past)
• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Sheridan, AR
  • NPI 1770738734
  NPD (past)
• Merakey Pennsylvania

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1467252536
  NPD (past)
• Rehabilitation Services of Northwest Louisiana, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1427137074
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1275960700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 DEERWOOD DR",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718548323",
            "telephone_number": "318-404-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIKE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033937",
            "telephone_number": "870-534-1834",
            "fax_number": "870-534-5798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Youree Dr Ste 482",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043666",
            "country_code": "US",
            "telephone_number": "318-869-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5902 Deerwood Dr",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718548323",
            "country_code": "US",
            "telephone_number": "318-404-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON-GRIFFIN",
        "first_name": "ANGIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "DSW, DAC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2022-02-22",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "28756",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952846313",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278739719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "BROWN",
            "middle_name": "LORRAINE",
            "prefix": "MRS.",
            "credential": "DSW,  LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abeer Washington, M.D.
• Cary Washington
• Margaret Ann Washington, A.N.P.
• Quaninika Washington, MS/LADAC/CCDP-D/MFTC
• Watson Chapel School District No.24 of Jefferson County
• Zabrina Zennile Weaver, ED.D., LADAC
• Jacobie Webb
• Sharon Yvette Webb
• Veronica Webb
• Willow E Welch, LCSW

• Clinical Social Worker in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.