Amia R Watson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MT761 Issued in MT

Practice address

331 Sijan Ave
Whiteman AFB, MO 65305

Phone

(660) 687-4341

NPI assigned

Mar 26, 2012

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1578839437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640800024",
            "telephone_number": "816-679-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SIJAN AVE",
            "city": "WHITEMAN AFB",
            "state": "MO",
            "postal_code": "65305",
            "telephone_number": "660-687-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "AMIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "MT761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True to Life Nutrition Counseling and Consulting, Inc.
• Jennifer Lee Unkel, RN
• Matthew Scot Van Uitert, MD
• Tosha Vann, M.D.
• Kristopher M.G. Wagner-Porter, M.D.
• Cory D Watson, LCSW
• Glenda M Wilcox, LCSW
• William Arthur Winslow II, RDH
• Rebecca Gail Yasunaga, PHD
• David Andrew Yosick

• Clinical Social Worker in Whiteman AFB, MO
• Providers in Whiteman AFB, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.