Easter Jean Watson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8049 S Sacramento Ave
Chicago, IL 60652-2732

Phone

(773) 306-1570

Fax

(773) 306-1571

NPI assigned

May 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Loudek Community Services, Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1821438284
  NPD Authorized official
• Care Collaborative Home Health Services Inc

  • Home Health Agency
  • Chicago, IL
  • NPI 1801899406
  NPD (past)

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861603052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8049 S SACRAMENTO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606522732",
            "telephone_number": "773-306-1570",
            "fax_number": "773-306-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8049 S SACRAMENTO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606522732",
            "telephone_number": "773-306-1570",
            "fax_number": "773-306-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "EASTER",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISA II",
            "identifier": "17965",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMADC",
            "identifier": "17965",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "ICCSO1140",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCJP",
            "identifier": "22134",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION SPEC.",
            "identifier": "EW44070604P",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCGC",
            "identifier": "21722",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Watson, LCSW
• Clyniece Lois Watson, M.D.
• Deanna Watson
• Donald Ray Watson II, LMFT
• Druanne Watson, EDUCATION SPECIALIST
• Heather Watson, LCSW
• Heather Watson
• Jamila Rose Watson, LCSW
• Jamirah A Watson
• Jermaine Dale Watson

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.