Provider Demographics
NPI:1295261139
Name:WATTS, JUDITH MCCALEB (LCSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:MCCALEB
Last Name:WATTS
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 1:8795 RALSTON RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2353
Mailing Address - Country:US
Mailing Address - Phone:504-236-8698
Mailing Address - Fax:225-208-1119
Practice Address - Street 1:8795 RALSTON RD STE 110
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2353
Practice Address - Country:US
Practice Address - Phone:504-236-8698
Practice Address - Fax:225-208-1119
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2024-08-07
Deactivation Date:2022-08-05
Deactivation Code:
Reactivation Date:2022-09-01
Provider Licenses
StateLicense IDTaxonomies
COCSW.099284811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical