Individual provider Active NPI

Madison Belle Watson, MSSW

  • Social Worker
  • Jeffersonville, IN
National Provider Identifier
1710560826
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
432 E Court Ave
Jeffersonville, IN 47130-3414
Phone
(812) 206-0012
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 Primary

Addresses

Primary practice location

432 E Court Ave
Jeffersonville, IN 47130-3414

Mailing address

432 E Court Ave
Jeffersonville, IN 47130-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240920003022 IN Practitioner - Clinical Social Worker 7113468885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring, Inc CurrentSince Aug 23, 2024 Accepting new patients
Lifespring, Inc CurrentSince Aug 23, 2024 Accepting new patients

Locations

432 E Court Ave
Jeffersonville, IN 47130
Phone (812) 206-0012

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

Organizations & group practices 2

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1710560826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E COURT AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E COURT AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303414",
            "telephone_number": "812-206-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MADISON",
        "middle_name": "BELLE",
        "name_prefix": "Miss",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.