Provider Demographics
NPI:1225216401
Name:WATSON, ENA MAY (PHD, BCD, LCSW-C)
Entity type:Individual
Prefix:DR
First Name:ENA
Middle Name:MAY
Last Name:WATSON
Suffix:
Gender:F
Credentials:PHD, BCD, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 ALLENTOWN RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4521
Mailing Address - Country:US
Mailing Address - Phone:301-899-2497
Mailing Address - Fax:301-899-2499
Practice Address - Street 1:5625 ALLENTOWN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4521
Practice Address - Country:US
Practice Address - Phone:301-899-2497
Practice Address - Fax:301-899-2499
Is Sole Proprietor?:No
Enumeration Date:2008-02-09
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD116721900Medicaid