Individual provider · Type 1 NPI

Michael Darrell Watson, LICSW

Clinical Social Worker · Fort Moore, GA

NPI number 1104482041 Active

Practice location

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102

Mailing address

141 Cash Dr
Lagrange, GA 30241-8421

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW008597 (GA)
Clinical Social Worker Primary 1041C0700X4808C (AL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104482041

Michael Darrell Watson, LICSW's National Provider Identifier is 1104482041, issued on May 16, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Moore, GA. The record was last updated on Feb 28, 2025.