Watson Psychotherapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3808 Issued in SC

Legal business name

WATSON PSYCHOTHERAPY SERVICES LLC

Practice address

1240 Baypoint Dr
Seneca, SC 29672-9182

Phone

(864) 933-6170

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Alvin F Watson Jr., LISW-CP

Title

President

Phone

(864) 933-6170

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1376827683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1229",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296331229",
            "telephone_number": "864-933-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BAYPOINT DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729182",
            "telephone_number": "864-933-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-933-6170",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "3808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710181672",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Patrick Ward, CCC-SLP
• Donald Meredith Wardell III, M.D
• Amanda M Wardlaw, COTA
• Joseph Richard Warren, RN
• Kyle Ernest Watford, MD
• Landan Watts
• Kaitlan Bryant Weaver, PA-C
• Matthew Webb
• Michael T Wechter, PA
• Serena Hammond Westmoreland, CPHT

• Clinical Social Worker in Seneca, SC
• Providers in Seneca, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.