Samantha V Watson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAMANTHA V WATSON

Practice address

131 Dodge St
Beverly, MA 01915-2048

Phone

(617) 286-4505

NPI assigned

Feb 15, 2021

Organization subpart

No

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

Authorized official

Name

Samantha V Watson, LICSWNPI 1316384688

Title

Licsw/ Owner

Phone

(978) 290-6000

Specialties & licenses 2

Addresses

Other names 1

• Cove Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Verga Watson, LICSW

  • Clinical Social Worker
  • Beverly, MA
  • NPI 1316384688
  NPD Authorized official

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1841883469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 OCEAN AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305237",
            "telephone_number": "978-290-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152048",
            "telephone_number": "617-286-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA V WATSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "LICSW/ OWNER",
        "authorized_official_telephone_number": "978-290-6000",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cove Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shamila Mohammedhshafi Saiyed, M.D.
• Lauren Paige Sakowitz
• Mariah Salah
• Adrienne Salerno, MSW, LCSW
• Julia Salinas, MD
• Anna Samkavitz, MA
• Nathan Samuels, NP
• Keiry Sanchez
• Katrina Sanders, M.D.
• Gloria Sanford-Breton, OTR/L

• Clinical Social Worker in Beverly, MA
• Providers in Beverly, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.