Active NPI
Ian Cole Watts, LCSW
- Clinical Social Worker
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63469
- Practice address
- 4413 71St St Ste G101
Lubbock, TX 79424-2319 - Phone
- (806) 412-4721
- Fax
- (806) 500-2935
- NPI assigned
- Sep 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8479 | OK | |
| Clinical Social Worker | 1041C0700X | 63469 | TX | Primary |
Addresses
Primary practice location
4413 71St St Ste G101
Lubbock, TX 79424-2319
Mailing address
3513 50TH St
Lubbock, TX 79413-4003
Phone (806) 438-8089
Other practice location 1
3513 50th St
Lubbock, TX 79413-4003
Phone (806) 438-8089
Other practice location 2
700 N Robinson Dr
Robinson, TX 76706-5050
Phone (254) 251-3414 ext. 705
Other practice location 3
4101 N Classen Blvd Ste D
Oklahoma City, OK 73118-2413
Phone (405) 261-3223 ext. 705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63469 | TX | MD | Professional Counselor |
| 8479 | OK | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Mental Health Associates PLLC | Clinical | Current | Accepting new patients |
| SWMH Services LLC | Current | Accepting new patients | |
| Stages of Recovery, Inc | Past | Accepting new patients |
Locations
4413 71st St
Ste G101
Lubbock, TX 79424
Phone (254) 495-2139
3513 50th St
Lubbock, TX 79413
Phone (806) 412-4721
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lubbock, TX
- NPI 1043070964
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Robinson, TX
- NPI 1558803270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1295254571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3513 50TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134003",
"telephone_number": "806-438-8089",
"fax_number": "806-500-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4413 71ST ST STE G101",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242319",
"telephone_number": "806-412-4721",
"fax_number": "806-500-2935"
}
],
"practiceLocations": [
{
"address_1": "3513 50th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794134003",
"country_code": "US",
"telephone_number": "806-438-8089",
"fax_number": "806-500-2935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 N Robinson Dr",
"address_purpose": "LOCATION",
"city": "Robinson",
"state": "TX",
"postal_code": "767065050",
"country_code": "US",
"telephone_number": "254-251-3414 x705",
"fax_number": "806-500-2935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4101 N Classen Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731182413",
"country_code": "US",
"telephone_number": "405-261-3223 x705",
"fax_number": "806-500-2935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "IAN",
"middle_name": "COLE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "8479",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "63469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.