Individual provider Active NPI

Patricia Shavawn Watlington, LCSW

  • Clinical Social Worker
  • Big Spring, TX
National Provider Identifier
1740878362
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2906 W 13TH St
Big Spring, TX 79720-4063
Phone
(432) 202-3067
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 130576 TX
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2906 W 13TH St
Big Spring, TX 79720-4063

Mailing address

2906 W 13TH St
Big Spring, TX 79720-4063
Phone (432) 202-3067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240729004422 TX Practitioner - Clinical Social Worker 9133666936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130576TXMDSocial Worker
103576TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Social Work Services LLC Clinical CurrentSince Dec 15, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 19, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2906 W 13th St
Big Spring, TX 79720
Phone (432) 202-3067

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1740878362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 W 13TH ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204063",
            "telephone_number": "432-202-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 W 13TH ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204063",
            "telephone_number": "432-202-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATLINGTON",
        "first_name": "PATRICIA",
        "middle_name": "SHAVAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "130576",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.