Active NPI
Emma Jane Watson, LCISW
- Clinical Social Worker
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60921300
- Practice address
- 315 Lakeway Dr
Bellingham, WA 98225-5214 - Phone
- (360) 329-2055
- NPI assigned
- Oct 24, 2018
- 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 | LW60921300 | WA | Primary |
Addresses
Primary practice location
315 Lakeway Dr
Bellingham, WA 98225-5214
Mailing address
315 Lakeway Dr
Bellingham, WA 98225-5214
Phone (360) 329-2055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Shelton, WA 98584
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60921300 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Lummi Indian Business Council | Current | Accepting new patients | |
| Karen King Counseling LLC | Current | Accepting new patients | |
| Lummi Indian Business Council | Current | Accepting new patients |
Locations
2665 Kwina Rd
Bellingham, WA 98226
Phone (360) 312-2019
315 Lakeway Dr
Bellingham, WA 98225
Phone (360) 329-2055
2592 Kwina Rd
Bellingham, WA 98226
Phone (360) 312-2000
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 and National Provider Directory roles.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
WA
-
dba Lummi Nation Health Center- Physical Therapy
- Physical Therapist
- Bellingham, WA
- NPI 1851414635
TX
-
dba King Health Associates
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bellingham, WA
- NPI 1558724765
-
dba Lummi Nation Health Center
- Counselor
- Bellingham, WA
- NPI 1225158769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1386111615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 LAKEWAY DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255214",
"telephone_number": "360-329-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 LAKEWAY DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255214",
"telephone_number": "360-329-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "EMMA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LCISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60921300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.