Individual provider Active NPI

James Francis Watza

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1467226530
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111246 Issued in TX
Practice address
225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653
Phone
(312) 971-3457
Fax
(224) 204-9089
NPI assigned
Nov 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22042 OK
Clinical Social Worker 1041C0700X 111246 TX Primary

Addresses

Primary practice location

225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653

Mailing address

107 S High St
Antlers, OK 74523-3818
Phone (580) 298-2830

Other practice location 1

107 S High St
Antlers, OK 74523-3818
Phone (580) 298-2830

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22042OKMDClinical Social Worker
111246TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1467226530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S HIGH ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745233818",
            "telephone_number": "580-298-2830",
            "fax_number": "580-298-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MICHIGAN AVE STE 1430",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017653",
            "telephone_number": "312-971-3457",
            "fax_number": "224-204-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S High St",
            "address_purpose": "LOCATION",
            "city": "Antlers",
            "state": "OK",
            "postal_code": "745233818",
            "country_code": "US",
            "telephone_number": "580-298-2830",
            "fax_number": "580-298-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATZA",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "22042",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.