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

Judith Watta, LCSW

Individual provider Clinical Social Worker · NPI 1356871305

Judith Watta, LCSW is a Clinical Social Worker in Luray, Virginia. Qualified in 2014, 12 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
12
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

21 N Broad St Ste E # 10104
Luray, VA 22835-1162
Phone: (571) 449-7837
Fax: (571) 449-7837
Show map & directions

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

Additional practice locations (1)

  • 22725 Greater Mack Ave Ste B301, Saint Clair Shores, MI 48080-2048 — (703) 402-2218

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904009896

Record details

NPI number1356871305
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing addressPo Box 806054, Saint Clair Shores, MI 48080-6054

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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