Haley Michelle Watson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15754 Issued in MD

Practice address

238 Brookley Ave, BLDG 1300
Bolling Afb, DC 20032-0101

Phone

(202) 767-0611

Fax

(202) 767-2911

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Haley Michelle Amos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1649586355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE, BLDG 1300",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200320101",
            "telephone_number": "202-767-0611",
            "fax_number": "202-767-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE, BLDG 1300",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200320101",
            "telephone_number": "202-767-0611",
            "fax_number": "202-767-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "HALEY",
        "middle_name": "MICHELLE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15754",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "AMOS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dannon Wayne Sutherland, D.M.D
• Nicole Swistak, O.D.
• Minna Takushi-Ramos, LMT
• Royce Michael Terry, D.PH
• Trenise Margie Turner, NP
• Aglendria Wiggins
• Cynthian Wilhelmy, M.D.
• Seth Palmer Wilson, LICSW
• Cassandra Kathleen Wright, DDS

• All providers in Bolling Afb, DC
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.