Provider Demographics
NPI:1942093042
Name:WATSON, BRADLEY CLAYTON (LCSW-S)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:CLAYTON
Last Name:WATSON
Suffix:
Gender:M
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E HUNTLAND DR STE 320
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3741
Mailing Address - Country:US
Mailing Address - Phone:512-643-7926
Mailing Address - Fax:
Practice Address - Street 1:505 E HUNTLAND DR STE 320
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3741
Practice Address - Country:US
Practice Address - Phone:866-783-7597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health