Watts, Nicole Danielle
Watts, Nicole Danielle is an sole proprietor health care provider with primary practice located at 6762 Lexington Ave , Los Angeles CA 90038-1217. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Watts, Nicole Danielle can be contacted via phone (323) 380-7590.Contact Information
Primary practice address
6762 Lexington Ave
Los Angeles CA 90038-1217
Phone: (323) 380-7590
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005250 | North Carolina |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | California | |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 113387 | California |
Profile Details
NPI number | 1225193089 |
---|---|
LBN Legal business name | Watts, Nicole Danielle |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 22nd, 2006 |
Last updated | Feb 6th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225193089 | NPPES |
North Carolina | MEDICAID | 6106453 |
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