Active NPI
Jessica Taylor Watkins
- Clinical Social Worker
- Amory, MS
National Provider Identifier
1649869884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 40068
- Practice address
- 60027 Newton Rd
Amory, MS 38821-9078 - Phone
- (662) 408-5682
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 40068 | ID | Primary |
Addresses
Primary practice location
60027 Newton Rd
Amory, MS 38821-9078
Mailing address
60027 Newton Rd
Amory, MS 38821-9078
Phone (662) 408-5682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jessicawatkinslcsw.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40068 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1649869884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60027 NEWTON RD",
"city": "AMORY",
"state": "MS",
"postal_code": "388219078",
"telephone_number": "662-408-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60027 NEWTON RD",
"city": "AMORY",
"state": "MS",
"postal_code": "388219078",
"telephone_number": "662-408-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "JESSICA",
"middle_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "40068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jessicawatkinslcsw.com",
"affiliation": "N",
"address_1": "60027 Newton Rd",
"city": "Amory",
"state": "MS",
"country_code": "US",
"postal_code": "388219078",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Amory, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.