Tracey L Watson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4118 Issued in TN

Practice address

423 Medical Park Dr Ste 400
Lenoir City, TN 37772-5641

Phone

(865) 970-9800

NPI assigned

May 20, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  NPD
• Parkwest Medical Center

  • Psychiatric Hospital Unit
  • Knoxville, TN
  • NPI 1851369243
  NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1811635840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MEDICAL PARK DR STE 400",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725641",
            "telephone_number": "865-970-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MEDICAL PARK DR STE 400",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725641",
            "telephone_number": "865-970-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TRACEY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail M Walter, MD
• Thomasa Kim Darlene Walton, CNA
• Tonya Warwick
• Beverly Dawn Watkins, APN
• Terry Trent Watkins, PHARM.D
• Ashley Nicole Weathers
• Wells Chiro/Med, LLC
• Wells Chiropractic Clinic
• James Guy Wells, D.C.
• Angelina Weston

• Clinical Social Worker in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.