Healthcare Provider Details

I. General information

NPI: 1437266251
Provider Name (Legal Business Name): BARBARA JOYCE WATT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

594 EAGLE DR
PRESTON ID
83263-5391
US

IV. Provider business mailing address

594 EAGLE DR
PRESTON ID
83263-5391
US

V. Phone/Fax

Practice location:
  • Phone: 425-923-4595
  • Fax:
Mailing address:
  • Phone: 425-923-4595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.60271189
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13421615-3501
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-36523
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: