Active NPI
Joseph B. Watterson, LISW-CP
- Clinical Social Worker
- Camden, SC
National Provider Identifier
1427006949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002108
- Practice address
- 2611 Liberty Hill Rd
Swcmhc/Kershaw CMHC
Camden, SC 29020-1871 - Phone
- (803) 432-5323
- Fax
- (803) 713-3978
- NPI assigned
- May 5, 2006
- Sex
- Male
- 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 | 002108 | SC | Primary |
Addresses
Primary practice location
2611 Liberty Hill Rd
Swcmhc/Kershaw CMHC
Camden, SC 29020-1871
Mailing address
215 N Magnolia St
Swcmhc
Sumter, SC 29150-4943
Phone (803) 775-9364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
Organizations & group practices 2
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 Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
dba Santee-Wateree Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sumter, SC
- NPI 1245279595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427006949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N MAGNOLIA ST",
"address_2": "SWCMHC",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504943",
"telephone_number": "803-775-9364",
"fax_number": "803-773-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 LIBERTY HILL RD",
"address_2": "SWCMHC/KERSHAW CMHC",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290201871",
"telephone_number": "803-432-5323",
"fax_number": "803-713-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERSON",
"first_name": "JOSEPH",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "002108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.