Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

R Glen Watson, LCSW Inc

Organization Clinical Social Worker · NPI 1194094268

R Glen Watson, LCSW Inc is a Clinical Social Worker in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2011.

Licensed in
AK
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 Cushman St Ste 3-E
Fairbanks, AK 99701-4640
Phone: (907) 479-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 161 (AK)

Record details

NPI number1194094268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roy Watson — President · (907) 479-0411
NPI enumeratedDecember 20, 2011
Last updated in NPPESDecember 20, 2011
Mailing address250 Cushman St, Suite 3-E, Fairbanks, AK 99701-4640

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