COURTNEY WATKINS (LCSW) – Clinical Social Worker, NPI 1083368799

COURTNEY WATKINS (LCSW) is a healthcare provider. based in Fort worth, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 65755 (TX). The NPI Number for COURTNEY WATKINS (LCSW) is 1083368799

Main info

Female
Sole Proprietor
9 Years Of Experience
Name
COURTNEY WATKINS (LCSW)
NPI
1083368799
Phone
(682) 232-5105
Address
6512 ELLIS RD
Enumeration Date
10 February 2022
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
6406294800
Group Practice PAC ID
2163460726
Professional Enrollment ID
I20240404001465
Address ID
OR978300307FOPOXXXBOXX202

Contacts

REST API
Axis2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness95
Years active:4State licenses:1Other names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for COURTNEY WATKINS (LCSW)

  • 6512 ELLIS RD

    FORT WORTH, TX 761124106

    Phone: (682) 232-5105

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240404001465IClinical Social WorkerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163460726View full group profile
NameSpecialtyState
Nurse PractitionerOR
Physician AssistantOR
Nurse PractitionerOR
Nurse PractitionerKS

Reviews

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Frequently asked questions

Does COURTNEY WATKINS (LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — COURTNEY WATKINS (LCSW) uses 1083368799.
Does CMS list COURTNEY WATKINS (LCSW) as active?
Yes — COURTNEY WATKINS (LCSW) is active in the NPI listing used on this page.
What is COURTNEY WATKINS (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for COURTNEY WATKINS (LCSW) here. Clinical services aligned with this taxonomy classification.
Where should I expect COURTNEY WATKINS (LCSW) on a map?
Expect Fort Worth, Texas as a primary anchor for COURTNEY WATKINS (LCSW) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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