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

Ebony Medina Watson

Individual provider Clinical Social Worker · NPI 1376041582

Ebony Medina Watson is a Clinical Social Worker in Cypress, California. Licensed in California and Michigan. Registered with an NPI since 2018.

Licensed in
CA, MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

10601 Walker St Ste 170
Cypress, CA 90630-4759
Phone: (248) 765-8679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 125893 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801115599 (MI)

Record details

NPI number1376041582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing addressPo Box 128, Manhattan Beach, CA 90267-0128

Other providers in Cypress