MEDICARE: ANTOINETTE ANGELIQUE WATTS CSW

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	171M00000X	Case Manager/Care Coordinator	6832	KY
2	104100000X	Social Worker	6832	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	862772824	OTHER	KY	SUD

General Provider Information

NPI Number	:	1538747118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTOINETTE ANGELIQUE WATTS CSW

Provider Business Mailing Address
First Line	:	1810 HIGHLAND AVENUE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1392
Country	:	US
Telephone Number	:	513-655-7154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1810 HIGHLAND AVENUE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1392
Country	:	US
Telephone Number	:	513-655-7154
Fax Number	:

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

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	03/01/2024

Similar Medicare Providers

1023969516 — ERIK SHAWN GAY
Practice Location Address:

115 W MCMICKEN AVE
CINCINNATI, OH
45202-4915

Practice Phone: 513-373-8787
Practice Fax:

1932411279 — STEPHANIE EDWINA SKINNER-LUCAS REGISTERED DIETITIAN
Practice Location Address:

1014 VINE ST
CINCINNATI, OH
45202-1141

Practice Phone: 855-699-6937
Practice Fax:

1508315706 — SHERRUN ELLISON NP-C
Practice Location Address:

311 ELM STREET , STE C1 #1156
CINCINNATI, OH
45202-4520

Practice Phone: 513-238-5982
Practice Fax: 513-257-0481

1528918208 — ALEKSANDAR RNJAK DCC
Practice Location Address:

830 REEDY ST
CINCINNATI, OH
45202-2216

Practice Phone: 513-572-5696
Practice Fax:

1720939853 — FLOURISH PSYCHOTHERAPY, LLC
Practice Location Address:

125 E COURT ST STE 350
CINCINNATI, OH
45202-1201

Practice Phone: 855-591-0092
Practice Fax:

1316838188 — LIVER CARE FLORIDA PA
Practice Location Address:

1311 VINE ST
CINCINNATI, OH
45202-7118

Practice Phone: 513-655-3020
Practice Fax:

Directions to “ ANTOINETTE ANGELIQUE WATTS CSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.