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

Mr. Larry Dan Watson, MSSW

Individual provider Clinical Social Worker · NPI 1124227814

Mr. Larry Dan Watson, MSSW is a Clinical Social Worker in Grand Prairie, Texas. Qualified in 1980, 46 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
46
Licensed in
TX
In the registry since
2007
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Practice location Address checks out

604 Gwyndellons Ln
Grand Prairie, TX 75052-3614
Phone: (972) 740-5422
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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 04245 (TX)

Record details

NPI number1124227814
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSW
Sole proprietorYes
NPI enumeratedJuly 13, 2007
Last updated in NPPESJuly 13, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grand Prairie