Provider Demographics
NPI:1770855116
Name:WATTS, DENISE NICOLE (MSW)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:NICOLE
Last Name:WATTS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13482 CHURCH VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7719
Mailing Address - Country:US
Mailing Address - Phone:614-735-0911
Mailing Address - Fax:
Practice Address - Street 1:13482 CHURCH VIEW DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7719
Practice Address - Country:US
Practice Address - Phone:614-735-0911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0024658171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator