Theophlius Watson III, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108525 Issued in TX

Practice address

1061 Hesselridge
Hewitt, TX 76643-4401

Phone

(505) 227-4338

NPI assigned

Sep 2, 2009

Last updated

Mar 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allegiance Mental Health & Wellness Services LLC

  dba Allegiance Counseling

  • Clinical Social Worker
  • Waco, TX
  • NPI 1760107387
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1821221177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HESSELRIDGE",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766434401",
            "telephone_number": "505-227-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HESSELRIDGE",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766434401",
            "telephone_number": "505-227-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "THEOPHLIUS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08252",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "108525",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": "C-08252",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waco VA
• Matthew Darby Wagoner, RPH
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-7156)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-7156)
• Debra Annette Walton, PTA
• Marcus John Wauson, PA-C
• Jordan White, RBT
• Dale L Williams, DDS
• Winnie-Stowell Hospital District (Hewitt Nursing and Rehabilitation)
• Laura York, RBT - 20 - 126753

• Clinical Social Worker in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.