IndividualActive
Andrea Watts, C5643
NPI 1447359757 · Clinical Social Worker · Vicksburg, MS
Provider details
- NPI number
- 1447359757
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- C5643
- Sex
- Female
- Sole proprietor
- No
- License
- M5643 (MS)
Practice location
1911 Mission 66 Ste B
Vicksburg, MS 39180-3762
Phone: (601) 665-4162
Fax: (855) 830-3484
Mailing address
557 Grant Ferry Rd
Brandon, MS 39047
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2022-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.