Provider Demographics
NPI:1477896017
Name:WATKINS, CHERIE DEE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:DEE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 DUNIVEN CIR
Mailing Address - Street 2:STE. 12
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1650
Mailing Address - Country:US
Mailing Address - Phone:806-676-1179
Mailing Address - Fax:806-223-4662
Practice Address - Street 1:2920 DUNIVEN CIR
Practice Address - Street 2:STE. 12
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1650
Practice Address - Country:US
Practice Address - Phone:806-676-1179
Practice Address - Fax:806-223-4662
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX503181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical