Provider Demographics
NPI:1639321201
Name:WATTS, NORA ANN Z (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NORA ANN
Middle Name:Z
Last Name:WATTS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 ENTERPRISE RD E
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5205
Mailing Address - Country:US
Mailing Address - Phone:727-725-4761
Mailing Address - Fax:
Practice Address - Street 1:3180 ENTERPRISE RD E
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-5205
Practice Address - Country:US
Practice Address - Phone:727-725-4761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW50591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL762346100Medicaid