Active NPI
Katherine Watts, LCSW
- Clinical Social Worker
- Kennebunk, ME
National Provider Identifier
1952707366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC16432
- Practice address
- 5 Bragdon LN Ste 1
Kennebunk, ME 04043-7262 - Phone
- (207) 337-8255
- NPI assigned
- Nov 12, 2014
- 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 | LC16432 | ME | Primary |
Addresses
Primary practice location
5 Bragdon LN Ste 1
Kennebunk, ME 04043-7262
Mailing address
50 Moody St
Sweetser
Saco, ME 04072-1536
Phone (800) 434-3000
Other practice location 1
50 Moody St
Sweetser
Saco, ME 04072-1536
Phone (800) 434-3000
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616889600000",
"number": "1952707366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MOODY ST",
"address_2": "SWEETSER",
"city": "SACO",
"state": "ME",
"postal_code": "040721536",
"telephone_number": "800-434-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BRAGDON LN STE 1",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040437262",
"telephone_number": "207-337-8255"
}
],
"practiceLocations": [
{
"address_1": "50 Moody St",
"address_2": "Sweetser",
"address_purpose": "LOCATION",
"city": "Saco",
"state": "ME",
"postal_code": "040721536",
"country_code": "US",
"telephone_number": "800-434-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "KATHERINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-12",
"last_updated": "2021-03-28",
"certification_date": "2021-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC16432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.