Active NPI
Katherine Anne Watts, MSW, LCSWA
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1871273581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C019233
- Practice address
- 3703 Latrobe Dr Ste 240
Charlotte, NC 28211-1364 - Phone
- (252) 573-2200
- Fax
- (252) 373-2044
- NPI assigned
- Jul 19, 2023
- Last updated
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C019233 | NC | Primary |
Addresses
Primary practice location
3703 Latrobe Dr Ste 240
Charlotte, NC 28211-1364
Mailing address
5632 Ebley LN
Charlotte, NC 28227-0629
Phone (336) 972-7189
Other practice location 1
16415 Northcross Dr Ste F
Huntersville, NC 28078-5001
Phone (704) 799-6824
Other practice location 2
134 Infield Ct
Mooresville, NC 28117-8026
Phone (704) 799-6824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C019233 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lolly Therapeutics, LLC | Clinical | Past | Accepting new patients |
| Integrative Therapy Concepts | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Mooresville, NC
- NPI 1508849332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1871273581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5632 EBLEY LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282270629",
"telephone_number": "336-972-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 LATROBE DR STE 240",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111364",
"telephone_number": "252-573-2200",
"fax_number": "252-373-2044"
}
],
"practiceLocations": [
{
"address_1": "16415 Northcross Dr Ste F",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280785001",
"country_code": "US",
"telephone_number": "704-799-6824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "134 Infield Ct",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281178026",
"country_code": "US",
"telephone_number": "704-799-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"credential": "MSW, LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C019233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.