Marylin Jean Watteyne, MSW-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1222 Highway 485
Jemez Pueblo, NM 87024-9709

Phone

(575) 834-2413

NPI assigned

Oct 13, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1730550088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 HIGHWAY 485",
            "city": "JEMEZ PUEBLO",
            "state": "NM",
            "postal_code": "870249709",
            "telephone_number": "575-834-2413",
            "fax_number": "575-834-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 HIGHWAY 485",
            "city": "JEMEZ PUEBLO",
            "state": "NM",
            "postal_code": "870249709",
            "telephone_number": "575-834-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTEYNE",
        "first_name": "MARYLIN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSW-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elba Velez True, LPCC LADAC
• Autumn Trujillo, RN
• Carol Ann Vigil, LMHC
• Brittney Waquie
• Calvin Waquie
• Steven L Wire
• Kristyn N Yepa, R.N., B.S.N.

• Clinical Social Worker in Jemez Pueblo, NM
• Providers in Jemez Pueblo, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.