KIMBERLY JEAN WATTS (NPI# 1659825396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659825396 |
| Entity Type | Individual |
| Full Name | KIMBERLY JEAN WATTS |
| Credential | LCSW,MSW,CADC |
| Practice Address |
3004 Grand Ave Waukegan IL 60085-2321 |
| Mailing Address |
10 Hawthorne Ln Fox Lake IL 60020-1809 |
| Practice Telephone | 8473778120 |
| Mailing Telephone | 8477759552 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2017-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149019701 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392455 | Kimberly Dawn Watts | Speech-Language Pathologist | 4706 Airport Ave Bldg A, Rosenberg, TX 77471-5645 | 2017-08-14 |
| 1477826220 | Kimberly A Watts | Counselor | 509 N Highway 95, Elgin, TX 78621 | 2012-02-09 |
| 1396972923 | Kimberly Gloria Watts | Occupational Therapist | 1011 University Ave, Colfax, WI 54730 | 2009-06-22 |
| 1366681645 | Kimberly Watts | Licensed Practical Nurse | 6 Ashford Ct, Robbinsville, NJ 08691-3141 | 2009-02-11 |
| 1891816781 | Kimberly D. Watts | Pediatrics | 2300 N Childrens Plz # 43, Chicago, IL 60614-3363 | 2007-04-02 |
| 1871148130 | Kimberly D Watts | Nurse Practitioner | 2828 1st Ave Ste 200, Huntington, WV 25702-1236 | 2019-08-05 |
| 1972157592 | Kimberly Watts | Behavior Technician | 2013 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2019-07-31 |
| 1679015101 | Kimberly Watts | Registered Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2016-11-15 |
| Street Address |
3004 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720290091 | County of Lake | Community/Behavioral Health | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2007-05-07 |
| 1225591977 | Kari Marie Green | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-10 |
| 1801358346 | Elizabeth Cole | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-03 |
| 1952802464 | Michael A Dickey | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2018-02-21 |
| 1154834851 | Erika N Hetland | Social Worker | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2017-11-16 |
| 1083125579 | Sylvia Sims Bolton | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2017-10-24 |
| 1487178109 | Solomon Yacob Berhanu | Student in an Organized Health Care Education/Training Program | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2017-08-03 |
| 1992155022 | County of Lake | Clinic/Center | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2016-06-20 |
| 1326412057 | Christopher Butler Sr. | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2015-11-18 |
| 1568862340 | James Spiziri | Registered Nurse | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2014-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1174802342 | Nashonna Turner | Counselor | 726 W Grove Ave # 2nd, Waukegan, IL 60085-1849 | 2011-08-05 |
| 1154987733 | Sharon D Jones | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-05-19 |
| 1548823396 | Katherine Lorelen Nauert-dineen | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-17 |
| 1225591977 | Kari Marie Green | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-10 |
| 1801358346 | Elizabeth Cole | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-03 |
| 1275007569 | Kelli A Ciolek | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-01-20 |
| 1952802464 | Michael A Dickey | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2018-02-21 |
| Find all providers in WAUKEGAN | ||||
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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.