Individual provider Active NPI

Emily J Watson, LCSW

  • Social Worker
  • Huntsville, AL
National Provider Identifier
1710917075
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0125C Issued in AL
Practice address
111 Longwood Dr SW
Huntsville, AL 35801
Phone
(256) 534-8161
Fax
(256) 534-7254
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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 0125C AL Primary

Addresses

Primary practice location

111 Longwood Dr SW
Huntsville, AL 35801

Mailing address

PO Box 16139
Huntsville, AL 35802-1663
Phone (256) 850-4091

Other identifiers 1

IdentifierTypeStateIssuer
0125COtherALCERTIFIED SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20031211000268 AL Practitioner - Clinical Social Worker 8820994650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

915 Merchants Walk SW
Suite C
Huntsville, AL 35801-5257

915 Merchants Walk SW C
Huntsville, AL 35801-5257
Phone (256) 850-4091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emily J Watson LCSW Pip LLC CurrentSince Sep 17, 2003 Accepting new patients

Locations

111 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 534-8161

523 Fountain Row SW
Huntsville, AL 35801

915 Merchants Walk SW
Huntsville, AL 35801

915 Merchants Walk SW
Ste C
Huntsville, AL 35801

Organizations & group practices 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1710917075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16139",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021663",
            "telephone_number": "256-850-4091",
            "fax_number": "256-970-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LONGWOOD DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-534-8161",
            "fax_number": "256-534-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "EMILY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "0125C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED SOCIAL WORKER",
            "identifier": "0125C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.