Holly Lynn Watt, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088292 Issued in MI

Practice address

705 S Main St
Suite 280
Plymouth, MI 48170-2089

Phone

(734) 454-3560

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1528213857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 HICKORY POINTE BLVD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976810",
            "telephone_number": "810-287-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST",
            "address_2": "SUITE 280",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702089",
            "telephone_number": "734-454-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATT",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088292",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Wasielewski, D.D.S.
• Jodi Marie Wasik, OTR/L
• Nicole Marie Wassel, LMSW
• Clare Waterstradt
• Alexis Marie Watson
• George Watts, CCP
• Shylah Wease
• Gregory M Weaver
• Timothy Weaver
• Cassie L Webb

• Clinical Social Worker in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.