Provider Demographics
NPI:1538285432
Name:WATSON, CHASITY ANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHASITY
Middle Name:ANNE
Last Name:WATSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CHASITY
Other - Middle Name:ANNE
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:925 N GOLIAD ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2230
Mailing Address - Country:US
Mailing Address - Phone:214-548-1220
Mailing Address - Fax:830-637-7438
Practice Address - Street 1:925 N GOLIAD ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2230
Practice Address - Country:US
Practice Address - Phone:214-548-1220
Practice Address - Fax:830-637-7438
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0034701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical