Individual provider Active NPI

Christy L Watson, LCSW

  • Clinical Social Worker
  • Searcy, AR
National Provider Identifier
1730638503
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8323-C Issued in AR
Practice address
305 Rogers
Searcy, AR 72143-7432
Phone
(501) 203-0857
Fax
(501) 203-0864
NPI assigned
Sep 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8323-M AR
Clinical Social Worker 1041C0700X 8323-C AR Primary

Addresses

Primary practice location

305 Rogers
Searcy, AR 72143-7432

Mailing address

14 Southwind Blvd
Searcy, AR 72143-8523
Phone (501) 231-0655

Other practice location 1

14 Southwind Blvd
Searcy, AR 72143-8523
Phone (501) 231-0655

Other practice location 2

11700 Kanis Rd
Suite 2
Little Rock, AR 72211-3729
Phone (501) 221-1941

Other practice location 3

6701 Highway 67
Benton, AR 72015-8909
Phone (501) 315-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200528001736 AR Practitioner - Clinical Social Worker 7416378567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8323-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince May 18, 2020 Accepting new patients
Arcare CurrentSince May 18, 2020 Accepting new patients
Arcare Current Accepting new patients
Inspiration Day Treatment, Inc. PastSince Aug 1, 2010 Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

305 Rodgers Dr
Searcy, AR 72143
Phone (501) 203-0857

406 Rodgers Dr
Searcy, AR 72143
Phone (501) 279-7979

305 Rodgers Dr
#64
Searcy, AR 72143
Phone (501) 203-0857

Organizations & group practices 4

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1730638503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SOUTHWIND BLVD",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721438523",
            "telephone_number": "501-231-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ROGERS",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437432",
            "telephone_number": "501-203-0857",
            "fax_number": "501-203-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Southwind Blvd",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721438523",
            "country_code": "US",
            "telephone_number": "501-231-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11700 Kanis Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113729",
            "country_code": "US",
            "telephone_number": "501-221-1941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Highway 67",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720158909",
            "country_code": "US",
            "telephone_number": "501-315-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CHRISTY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "8323-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8323-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.