Mrs. Andrea Lashun Watts, C5643
Mrs. Andrea Lashun Watts, C5643 is a Clinical Social Worker in Vicksburg, Mississippi. Qualified in 2000, 26 years ago. Practices with Uppal Medical Center LLC, a 131-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 26
- Licensed in
- MS
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1911 Mission 66 Ste BVicksburg, MS 39180-3762
Phone: (601) 665-4162
Fax: (855) 830-3484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 — (601) 362-4471
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence C5643 (MS) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence M5643 (MS) |
Record details
| NPI number | 1447359757 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | C5643 |
| Sole proprietor | No |
| NPI enumerated | September 22, 2006 |
| Last updated in NPPES | October 14, 2022 |
| Certification date | October 14, 2022 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Uppal Medical Center Llc — 131 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Vicksburg
-
Earnest Johnson
1110 Clay St, Vicksburg, MS 39183-2912 · (601) 738-5820
-
Keera Quantae Lane
3530 Manor Dr Ste 5, Vicksburg, MS 39180-5625 · (601) 738-5260
-
Kedreunna McGriggs
3530 Manor Dr Ste 5A, Vicksburg, MS 39180-5625 · (601) 738-5260
-
Cherie Tucker
1905 Mission 66, Vicksburg, MS 39180-3711 · (601) 738-5820