Angela Watson, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4257 Issued in KS

Practice address

555 N Woodlawn St Ste 102
Wichita, KS 67208-3671

Phone

(316) 652-2590

Fax

(316) 652-2595

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angela Bush Former name

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

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health America of South Central Kansas, Inc.Group PAC ID 1153400197, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mental Health America of South Central Kansas, Inc.

  • Community/Behavioral Health Agency
  • Wichita, KS
  • NPI 1689710568
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1811158116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083671",
            "telephone_number": "316-652-2590",
            "fax_number": "316-652-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083671",
            "telephone_number": "316-652-2590",
            "fax_number": "316-652-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANGELA",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200556010B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BUSH",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaycie Watkins
• Melody M Watkins, CRNA
• Watson Village LLC
• Joanna Mary Watson-Wong, LMFT, LCMFT
• Alexis Watson, LMSW-T
• Emily S Watson
• Heather Watson, MS, LCAC
• Lisa Marie Watson, RN
• Marci L. Watson, AUD
• Marion Aubrey Watson, P.T.

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.