Individual provider Active NPI

Dorothy D Watts, LCSW

  • Marriage & Family Therapist
  • Stockbridge, GA
National Provider Identifier
1750461497
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CSW 002841 Issued in GA
Practice address
175 Country Club Drive
Suite 200E
Stockbridge, GA 30281
Phone
(770) 389-1925
Fax
(770) 389-3077
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CSW 002841 GA Primary

Addresses

Primary practice location

175 Country Club Drive
Suite 200E
Stockbridge, GA 30281

Mailing address

175 Country Club Drive
Suite 200E
Stockbridge, GA 30281
Phone (770) 389-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20091228000011 GA Practitioner - Clinical Social Worker 6204976129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta Psychotherapy, LLCGroup PAC ID 4385784206, 2 clinicians

Practice addresses (Care Compare)

831 Fairways Court
Suite a
Stockbridge, GA 30281-7278

831 Fairways CT
Suite a
Stockbridge, GA 30281-7278
Phone (770) 389-1925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW 002841GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Psychotherapy, LLC CurrentSince Oct 10, 2009 Accepting new patients

Locations

831 Fairways Ct
Ste A
Stockbridge, GA 30281
Phone (770) 389-1925

175 Country Club Dr
Bldg 200E
Stockbridge, GA 30281
Phone (770) 389-1925

Organizations & group practices 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750461497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COUNTRY CLUB DRIVE",
            "address_2": "SUITE 200E",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-389-1925",
            "fax_number": "770-389-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COUNTRY CLUB DRIVE",
            "address_2": "SUITE 200E",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-389-1925",
            "fax_number": "770-389-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "DOROTHY",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "CSW 002841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.