Active NPI
Cynthia Marie Watkins, LCSW
- Clinical Social Worker
- Cumming, GA
National Provider Identifier
1366632259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005973
- Practice address
- 327 Dahlonega St Ste A202
Cumming, GA 30040-2484 - Phone
- (678) 965-6021
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005973 | GA | Primary |
Addresses
Primary practice location
327 Dahlonega St Ste A202
Cumming, GA 30040-2484
Mailing address
327 Dahlonega St Ste A202
Cumming, GA 30040-2484
Phone (789) 656-0216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360087 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 28, 2024 through Mar 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005973 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1366632259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 DAHLONEGA ST STE A202",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402484",
"telephone_number": "789-656-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 DAHLONEGA ST STE A202",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402484",
"telephone_number": "678-965-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "CYNTHIA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2024-04-22",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360087",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.