Provider Demographics
NPI:1942669668
Name:WATSON, SHEWAYN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHEWAYN
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 WEDGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-7428
Mailing Address - Country:US
Mailing Address - Phone:504-237-7429
Mailing Address - Fax:504-302-9649
Practice Address - Street 1:1819 WEDGWOOD DR STE E
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-7428
Practice Address - Country:US
Practice Address - Phone:504-237-7429
Practice Address - Fax:504-302-9649
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1143941041C0700X
DCLC2000033711041C0700X
LA51921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical