Individual provider Active NPI

Cherie Dee Watkins, LCSW

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1477896017
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50318 Issued in TX
Practice address
2920 Duniven Cir
Ste. 12
Amarillo, TX 79109-1650
Phone
(806) 676-1179
Fax
(806) 223-4662
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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 50318 TX Primary

Addresses

Primary practice location

2920 Duniven Cir
Ste. 12
Amarillo, TX 79109-1650

Mailing address

2920 Duniven Cir
Ste. 12
Amarillo, TX 79109-1650
Phone (806) 676-1179

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
50318TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1477896017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 DUNIVEN CIR",
            "address_2": "STE. 12",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091650",
            "telephone_number": "806-676-1179",
            "fax_number": "806-223-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 DUNIVEN CIR",
            "address_2": "STE. 12",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091650",
            "telephone_number": "806-676-1179",
            "fax_number": "806-223-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CHERIE",
        "middle_name": "DEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.