MEDICARE: DR. ENA MAY WATSON PH.D., BCD, LCSW-C

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

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	:	1225216401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ENA MAY WATSON PH.D., BCD, LCSW-C

Provider Business Mailing Address
First Line	:	5625 ALLENTOWN RD
Second Line	:	SUITE 102
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4521
Country	:	US
Telephone Number	:	301-899-2497
Fax Number	:	301-899-2499

Provider Business Practice Location Address
First Line	:	5625 ALLENTOWN RD
Second Line	:	SUITE 102
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4521
Country	:	US
Telephone Number	:	301-899-2497
Fax Number	:	301-899-2499

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

Provider Enumeration Date	:	02/09/2008
Last Update Date	:	10/05/2023

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