MEDICARE: ANNA MARIE WATKINS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C011424	NC
2	1041C0700X	Clinical Social Worker	P009444	NC
3	1041C0700X	Clinical Social Worker	0904014115	VA

General Provider Information

NPI Number	:	1245627264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIE WATKINS LCSW

Provider Business Mailing Address
First Line	:	425 LARCHMONT RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-0879
Country	:	US
Telephone Number	:	910-476-8158
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CLYBORN CHURCH RD
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28360
Country	:	US
Telephone Number	:	910-739-9160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	04/06/2026

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