JERRY WATSON (NPI# 1285273045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285273045 |
| Entity Type | Individual |
| Full Name | JERRY WATSON |
| Credential | PHD, LCSW |
| Practice Address |
8566 Cordes Cir Germantown TN 38139-3317 |
| Mailing Address |
4431 Evelyn Ln Southaven MS 38672-7168 |
| Practice Telephone | 8669777158 |
| Mailing Telephone | 6019535515 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073838439 | Jerry B Watson | Clinic/Center | 8324 La Camila Rd Ne, Albuquerque, NM 87110-2420 | 2010-03-29 |
| 1316902976 | Jerry Ray Watson | Orthopaedic Surgery | 250 Sundance Ct, Steamboat Springs, CO 80487-3058 | 2006-04-18 |
| 1962480293 | Jerry Franklin Watson | Surgery | 301 8th St, N Wilkesboro, NC 28659-4127 | 2006-01-06 |
| 1336759448 | Jerry Lee Watson IIi | Technician, Other | 1001 Laurence Ave, Jackson, MI 49202-2979 | 2020-08-04 |
| 1225176456 | Jerry Watson | Social Worker | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2007-02-01 |
| 1497771216 | Jerry Lynn Watson | Radiology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-07-14 |
| 1174519896 | Jerry E Watson | Internal Medicine | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2005-09-27 |
| Street Address |
8566 CORDES CIR |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38139-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881242063 | Mary W Alexander | Social Worker | 8566 Cordes Cir, Germantown, TN 38139-3317 | 2019-08-30 |
| 1467927830 | Patricia C Friedman | Counselor | 8566 Cordes Cir, Germantown, TN 38139-3317 | 2018-10-11 |
| 1912425703 | Toni Louis | Counselor | 8566 Cordes Cir, Germantown, TN 38139-3317 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582598 | Nutrition Wellness | Nutritionist | 9494 Fox Hill Circle N., Germantown, TN 38139 | 2019-08-05 |
| 1083952600 | Christopher Gilbert | Pharmacist | 2835 Kirby Parkway, Memphis, TN 38139 | 2013-01-17 |
| 1750582292 | Amy Louise Thompson | Speech-Language Pathologist | 8591 Sycamore Trail Dr, Germantown, TN 38139 | 2007-05-31 |
| 1881895480 | Gerald W. Bock | Specialist | 8573 Cordes Circle, Germantown, TN 38139 | 2007-05-30 |
| 1215081120 | Jeffrey Ward Frost | Chiropractor | 9947 Wolf River, Suite 105, Germantown, TN 38139 | 2007-01-22 |
| 1720173859 | Mid South Neurology Clinic Pllc | Psychiatry & Neurology | 8584 Cordes Circle, Germantown, TN 38139 | 2006-10-04 |
| 1972614295 | Miguel Pulido | Dentist | 8590 Farmington Blvd, Suite 5, Germantown, TN 38139 | 2006-08-31 |
| 1467092932 | Mshn Enterprises LLC | Home Health Aide | 8584 Cordes Cir, Germantown, TN 38139-3317 | 2020-01-13 |
| 1952573255 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8570 Cordes Cir, Ste 2, Germantown, TN 38139-3317 | 2008-03-26 |
| 1023216470 | John Robert Vincent | Specialist | 8573 Cordes Cir, Germantown, TN 38139-3317 | 2007-07-06 |
| Find all providers in zip 38139 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029066 | Ingrid Gooch | Social Worker | 14045 Esworthy Rd, Germantown, MD 20874-3311 | 2020-07-06 |
| 1558988105 | Rosa Barrientos | Social Worker | 19805 Executive Park Cir Ste 29, Germantown, MD 20874-2649 | 2020-06-30 |
| 1427698323 | Kimberly Huff Dafferner | Social Worker | 2583 Turpins Glen Dr, Germantown, TN 38138-5820 | 2020-01-09 |
| 1043855869 | Kathleen Murray | Social Worker | 19805 Executive Park Cir Unit 29, Germantown, MD 20874-2649 | 2019-11-15 |
| 1982106977 | John Alan Metzger | Social Worker | 588 Church Avenue, Germantown, NY 12526 | 2018-03-06 |
| 1184122541 | Shelly Marie Casey | Social Worker | 14027 Gallop Ter, Germantown, MD 20874-6130 | 2018-01-31 |
| 1174036636 | Sean A. Hayes | Social Worker | 13243 Executive Park Ter, Germantown, MD 20874-2648 | 2017-11-07 |
| 1962912766 | Anne Bryan | Social Worker | 7690 Mchenry Cir S, Germantown, TN 38138-2238 | 2017-10-06 |
| 1669998506 | Tatiana Aviles Lcsw-c LLC Bilingual Counseling Services | Social Worker | 38 Cottage Field Ct, Germantown, MD 20874-6310 | 2017-08-22 |
| 1235654674 | Monica J Kraus | Social Worker | 13027 Woodcutter Cir, Germantown, MD 20876-6958 | 2017-08-07 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38139 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.