Individual provider Active NPI

Emily Watter, LCSW

  • Clinical Social Worker
  • Royal Palm Beach, FL
National Provider Identifier
1740024470
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23157 Issued in FL
Practice address
310 Crestwood Cir Apt 208
Royal Palm Beach, FL 33411-4970
Phone
(561) 445-3293
NPI assigned
Jun 19, 2024
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW23157 FL Primary

Addresses

Primary practice location

310 Crestwood Cir Apt 208
Royal Palm Beach, FL 33411-4970

Mailing address

310 Crestwood Cir Apt 208
Royal Palm Beach, FL 33411-4970
Phone (561) 445-3293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240826002846 NJ Practitioner - Clinical Social Worker 1052850732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23157FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Psychological Group, PA CurrentSince Aug 9, 2024 Accepting new patients
Richard B. Dauber, PH.D. Past Accepting new patients

Locations

50 Cherry Hill Rd
Ste 102
Parsippany, NJ 07054
Phone (908) 783-1211

50 Cherry Hill Rd
Ste 305
Parsippany, NJ 07054
Phone (973) 257-9000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1740024470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CRESTWOOD CIR APT 208",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114970",
            "telephone_number": "561-445-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CRESTWOOD CIR APT 208",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114970",
            "telephone_number": "561-445-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTER",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.