Lucas Nathaniel Watson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M0861 Issued in MS

Practice address

34132 Hwy 28 East
Crystal Springs, MS 39059

Phone

(601) 894-1323

Fax

(601) 968-0079

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679770507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "HAZELHURST",
            "state": "MS",
            "postal_code": "390830847",
            "telephone_number": "601-894-1323",
            "fax_number": "601-968-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34132 HWY 28 EAST",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-894-1323",
            "fax_number": "601-968-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LUCAS",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M0861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07108853",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delendtricus Thompson, CCC-SLP
• Cynthia Tronstad, PT
• William T Walker, RPH
• Crystal W Wall, PTA
• Terrance Lemond Ware, D.D.S.
• Jeremy Welch, DPT
• Amanda C Wilson, RPH
• Robert Bradley Woods, PTA

• Social Worker in Crystal Springs, MS
• Providers in Crystal Springs, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.