Individual provider Active NPI

Katherine Anne Watts, MSW, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1871273581
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019233 Issued in NC
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C019233NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.