Individual provider Active NPI

Yvette Nicole Watts, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1306467758
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090401154 Issued in VA
Practice address
236 Robin Ave
Richmond, VA 23223-3547
Phone
(804) 243-0782
NPI assigned
Apr 27, 2020
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090401154 VA Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

236 Robin Ave
Richmond, VA 23223-3547

Mailing address

3029 Falcon Creek Dr
Henrico, VA 23231-1842
Phone (804) 952-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20200602002508 VA Practitioner - Clinical Social Worker 0446671291 Reassigns benefits to 1 organization
I20230209002626 DC Practitioner - Clinical Social Worker 0446671291 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090401154VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Possibilities Counseling Services LLC Clinical CurrentSince Jul 9, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 18, 2024 Accepting new patients
Uplift Behavioral Health PC Clinical CurrentSince May 28, 2025 Accepting new patients
Uplift Health Technologies, Inc. CurrentSince Jan 26, 2023 Accepting new patients

Locations

1050 30th St NW
Washington, DC 20007
Phone (202) 410-5972

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

85 5th Ave
Fl 8
New York, NY 10003
Phone (212) 993-7809

3033 Wilson Blvd
Ste 700
Arlington, VA 22201
Phone (202) 410-5972

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1306467758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 FALCON CREEK DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232311842",
            "telephone_number": "804-952-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 ROBIN AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232233547",
            "telephone_number": "804-243-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "YVETTE",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090401154",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.