Katlyn Watson, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

411 S West St
Royal Oak, MI 48067-2543

Phone

(517) 214-1733

NPI assigned

Nov 9, 2020

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 names 1

• Katie Duran Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Carmel Therapy LLC

  • Mental Health Counselor
  • Pendleton, IN
  • NPI 1386345957

  Clinical

  NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1922600584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S WEST ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672543",
            "telephone_number": "517-214-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S WEST ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672543",
            "telephone_number": "517-214-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KATLYN",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DURAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Unknown Wasim, MBBS/MD
• Marc Jay Wasser, PA
• Liat Wasserman
• Harry J Wasvary, MD
• Kelli Marie Waters, LLMSW
• Kyle Watson, PA-C
• Thomas Jack Watson, M.D.
• John Watts, MD
• Kathryn D Wease, MD
• Jill Weathers

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.