Lee Gerald Watts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110787 Issued in MA

Practice address

1515 Tamiami TRL S
Suite 5
Venice, FL 34285-5557

Phone

(941) 445-1413

Fax

(941) 493-4740

NPI assigned

Jul 10, 2008

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Phyllis K. Jensen, Psy.D.,L.L.C.

  • Exclusive Provider Organization
  • Venice, FL
  • NPI 1306002803
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1316101215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 TAMIAMI TRL S",
            "address_2": "SUITE 5",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855557",
            "telephone_number": "941-445-1413",
            "fax_number": "941-493-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 TAMIAMI TRL S",
            "address_2": "SUITE 5",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855557",
            "telephone_number": "941-445-1413",
            "fax_number": "941-493-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LEE",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110787",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Alexander Ward, PA-C
• Kelly M Warren
• Steven Jay Wasserman, MD PL
• Lindsey Watford, FNP
• Jennifer Watkins
• Waves Neurofeedback & Counseling, LLC
• Agata Wawro, ARNP
• Barry J. Weckesser, M.D.
• Diane M Weezorak, NP
• Terry Lynn Wehagen, RPH

• Clinical Social Worker in Venice, FL
• Providers in Venice, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.