Individual provider Active NPI

Doreen Marie Zak-Watt, L.C.S.W.

  • Social Worker
  • Clarence, NY
National Provider Identifier
1649604091
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R027370-1 Issued in NY
Practice address
10150 Greiner Rd.
Clarence Middle School
Clarence, NY 14031
Phone
(716) 407-9209
Fax
(716) 407-9243
NPI assigned
Aug 21, 2013
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R027370-1 NY Primary

Addresses

Primary practice location

10150 Greiner Rd.
Clarence Middle School
Clarence, NY 14031

Mailing address

355 Harlem Road
Boces Erie I
West Seneca, NY 14224
Phone (716) 821-7000

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
R027370-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1649604091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HARLEM ROAD",
            "address_2": "BOCES ERIE I",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-821-7000",
            "fax_number": "716-821-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 GREINER RD.",
            "address_2": "CLARENCE MIDDLE SCHOOL",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "14031",
            "telephone_number": "716-407-9209",
            "fax_number": "716-407-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAK-WATT",
        "first_name": "DOREEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R027370-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.