Melissa Watson-Clark, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13893 Issued in MD

Practice address

107 Weymouth St
Upper Marlboro, MD 20774-1744

Phone

(410) 645-0677

NPI assigned

Apr 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gardenwood Counseling Center LLC

  • Adult Mental Health Clinic/Center
  • Columbia, MD
  • NPI 1962984724
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1306080718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 SOUTHWEST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164235",
            "telephone_number": "410-645-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEYMOUTH ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741744",
            "telephone_number": "410-645-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON-CLARK",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "13893",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974745",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet L Wasson, MD
• Damian M. Waters, LCMFT
• Lawrence Joseph Waters, PA-C
• Veronica Watkins, LICSW, LCSW-C
• Deborah Jean Watkis, CCC-SLP
• Allyson Leontay Watson, LMFT
• Patrice Elaine Watson, EDD
• Shani Watson, LCPC
• Soroya Watson, RN, IBCLC
• Watts Dental Associates

• Clinical Social Worker in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.