Individual provider Active NPI

Amber Belle Newell-Watson, LCSW

  • Clinical Social Worker
  • McKinney, TX
National Provider Identifier
1639824899
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107360 Issued in TX
Practice address
7290 Virginia Pkwy Ste 3100
McKinney, TX 75071-5752
Phone
(469) 617-6166
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 LSW0000013694 TN
Clinical Social Worker 1041C0700X 107360 TX Primary

Addresses

Primary practice location

7290 Virginia Pkwy Ste 3100
McKinney, TX 75071-5752

Mailing address

3200 Attala Road 4213
Sallis, MS 39160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20251008002971 MS Practitioner - Clinical Social Worker 9931606621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3200 Attala Rd
Suite 4213
Sallis, MS 39160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000013694TNMDClinical Social Worker
107360TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corewellness, LLC Clinical CurrentSince Aug 19, 2025 Accepting new patients

Organizations & group practices 1

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1639824899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ATTALA ROAD 4213",
            "city": "SALLIS",
            "state": "MS",
            "postal_code": "39160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 VIRGINIA PKWY STE 3100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715752",
            "telephone_number": "469-617-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL-WATSON",
        "first_name": "AMBER",
        "middle_name": "BELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000013694",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.