Healthcare Provider Details

I. General information

NPI: 1194296699
Provider Name (Legal Business Name): MARGARET ANN WATTS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2018
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 OAKFIELD DR STE 205
BRANDON FL
33511-0827
US

IV. Provider business mailing address

1602 OAKFIELD DR STE 205
BRANDON FL
33511-0827
US

V. Phone/Fax

Practice location:
  • Phone: 239-236-8784
  • Fax: 239-790-2624
Mailing address:
  • Phone: 813-655-6367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW21006
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: