MEDICARE: CYNTHIA WATSON 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	C001916	NC
2	101Y00000X	Counselor	C001916	NC
3	101YM0800X	Mental Health Counselor	C001916	NC
4	106H00000X	Marriage & Family Therapist	C001916	NC

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

General Provider Information

NPI Number	:	1952509721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA WATSON LCSW

Provider Business Mailing Address
First Line	:	4003 BROWN PLACE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-5459
Country	:	US
Telephone Number	:	919-302-7441
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 MORSON ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27601-1559
Country	:	US
Telephone Number	:	919-302-7441
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	05/26/2026

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