Lyvon Watt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000548A Issued in IN

Practice address

1600 A St NE Ste 9
Linton, IN 47441-1612

Phone

(812) 847-7005

Fax

(812) 847-5309

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Indiana University Health Southern Indiana Physicians, LLC

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
  • NPI 1013953983
  Medicare reassignment NPD
• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment
• Indiana University Health Southern Indiana Physicians LLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, IN
  • NPI 1063179844
  NPD

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1720475486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 A ST NE STE 9",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411612",
            "telephone_number": "812-847-7005",
            "fax_number": "812-847-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 A ST NE STE 9",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411612",
            "telephone_number": "812-847-7005",
            "fax_number": "812-847-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 W Main St",
            "address_purpose": "LOCATION",
            "city": "Jasonville",
            "state": "IN",
            "postal_code": "474381323",
            "country_code": "US",
            "telephone_number": "812-665-9000",
            "fax_number": "812-665-9009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATT",
        "first_name": "LYVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000548A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise A Wagner, FNP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Gregory Conrad Wall, M.D.
• Laurel A Walton, D.O.
• William David Watt, LSW
• Beverly Marie Weber, PTA
• Casey Webster
• Benjamin A Wendell, MD
• Raven West

• Clinical Social Worker in Linton, IN
• Providers in Linton, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.