Provider Demographics
NPI:1912482910
Name:WATKINS, NAOMI MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:MICHELLE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:MICHELLE
Other - Last Name:FIGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8585 OLD DAIRY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8094
Mailing Address - Country:US
Mailing Address - Phone:360-255-0155
Mailing Address - Fax:
Practice Address - Street 1:8585 OLD DAIRY RD STE 203
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8094
Practice Address - Country:US
Practice Address - Phone:360-255-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1655481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical