Individual provider Active NPI

Elizabeth Emily Chugg Watters, LCSW

  • Clinical Social Worker
  • Van Buren, AR
National Provider Identifier
1447620844
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7746-C Issued in AR
Practice address
3103 Alma Hwy
Van Buren, AR 72956-5027
Phone
(479) 474-4483
Fax
(479) 782-5502
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7746-C AR Primary

Addresses

Primary practice location

3103 Alma Hwy
Van Buren, AR 72956-5027

Mailing address

3103 Alma Hwy
Van Buren, AR 72956-5027
Phone (479) 474-4483

Other names 1

  • Elizabeth Chugg Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL serenity3103office@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20200826003364 AR Practitioner - Clinical Social Worker 0941627681 Reassigns benefits to 2 organizations

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
Adolescent and Family AdvocatesGroup PAC ID 7517384241, 6 clinicians

Practice addresses (Care Compare)

3103 Alma Hwy
Van Buren, AR 72956-5027
Phone (479) 285-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7746-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Birds of a Feather Therapy Clinical CurrentSince Jul 22, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1447620844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565027",
            "telephone_number": "479-474-4483",
            "fax_number": "479-262-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565027",
            "telephone_number": "479-474-4483",
            "fax_number": "479-782-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "ELIZABETH",
        "middle_name": "EMILY CHUGG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7746-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "serenity3103office@gmail.com",
            "affiliation": "N",
            "address_1": "3103 Alma Hwy",
            "city": "Van Buren",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729565027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CHUGG",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.