Cecil Elliott Wattree Jr., LSCSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021012425 Issued in MO

Practice address

9801 Richmond Ave
Kansas City, MO 64134-1639

Phone

(816) 601-9910

NPI assigned

Oct 11, 2021

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Social Worker

Education

University of Missouri, Kansas City, School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radical Empowerment Services

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1558213942

  KS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1730841339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 RICHMOND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341639",
            "telephone_number": "816-601-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 RICHMOND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341639",
            "telephone_number": "816-601-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTREE",
        "first_name": "CECIL",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LSCSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05488",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021012425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Setmore",
            "affiliation": "N",
            "endpointDescription": "appointment scheduling/virtual meeting software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9801 Richmond Ave",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641341639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Watson, RN, IBCLC
• Amber Watt
• Jennifer Rachel Wattenbarger, N.P.
• Sean Wattenbarger, DC
• Johnathon Watterson, PHARM.D.
• Beau Watts
• Cassandra Kay Watts, FNP-C
• Catherine O'Bryan Watts, MD
• Colin George Watts
• Jennifer Watts, MD

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.