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

Individual provider Clinical Social Worker · NPI 1730572082

Makiesha Wallace-Watson, MSW is a Clinical Social Worker in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

703 60th Street Ct E
Bradenton, FL 34208-6278
Phone: (813) 992-4082
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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 ISW9025 (FL)

Record details

NPI number1730572082
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedMarch 11, 2015
Last updated in NPPESMarch 11, 2015

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