Provider Demographics
NPI:1215734348
Name:WATSON, NADGETTE (LSW)
Entity type:Individual
Prefix:
First Name:NADGETTE
Middle Name:
Last Name:WATSON
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 BENTEE WES CT
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-4037
Mailing Address - Country:US
Mailing Address - Phone:812-401-1836
Mailing Address - Fax:812-401-8013
Practice Address - Street 1:530 BENTEE WES CT
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4037
Practice Address - Country:US
Practice Address - Phone:812-401-1836
Practice Address - Fax:812-401-8013
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33011488A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker