Individual provider Active NPI

Linda Tina Watts, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1740685312
Registry record updated Oct 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
054971-1 Issued in NY
Practice address
96 5TH Ave Apt 1K
New York, NY 10011-7604
Phone
(347) 256-6242
Fax
(973) 403-9958
NPI assigned
Oct 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 054971-1 NY Primary

Addresses

Primary practice location

96 5TH Ave Apt 1K
New York, NY 10011-7604

Mailing address

14 Tempesta Ter
West Caldwell, NJ 07006-6934
Phone (347) 256-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
054971-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414195200000",
    "number": "1740685312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TEMPESTA TER",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066934",
            "telephone_number": "347-256-6242",
            "fax_number": "973-403-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 5TH AVE APT 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117604",
            "telephone_number": "347-256-6242",
            "fax_number": "973-403-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LINDA",
        "middle_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "054971-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; 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.