Individual provider Active NPI

Judith McCaleb Watts, LCSW

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1295261139
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928481 Issued in CO
Practice address
8795 Ralston Rd Ste 110
Arvada, CO 80002-2353
Phone
(504) 236-8698
Fax
(225) 208-1119
NPI assigned
May 11, 2017
Reactivated
Sep 1, 2022
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 CSW.09928481 CO Primary

Addresses

Primary practice location

8795 Ralston Rd Ste 110
Arvada, CO 80002-2353

Mailing address

8795 Ralston Rd Ste 110
Arvada, CO 80002-2353
Phone (504) 236-8698

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

LicenseStateTypeSpecialty
CSW.09928481COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gravity Counseling, LLC Clinical CurrentSince Aug 11, 2024 Accepting new patients

Locations

8795 Ralston Rd
Ste 110
Arvada, CO 80002
Phone (720) 696-0028

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, 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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1295261139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8795 RALSTON RD STE 110",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022353",
            "telephone_number": "504-236-8698",
            "fax_number": "225-208-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8795 RALSTON RD STE 110",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022353",
            "telephone_number": "504-236-8698",
            "fax_number": "225-208-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JUDITH",
        "middle_name": "MCCALEB",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "deactivation_date": "2022-08-05",
        "reactivation_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.