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MALISSA WATTERSON LCSW
NPI 1174399950
Social Worker - Clinical in Charlottesville, VA

Active since December 01, 2023Opted out of Medicare · through Feb 7, 2028
3 BOARS HEAD LN STE C6, CHARLOTTESVILLE, VA 22903(434) 566-0113 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Malissa Watterson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALISSA WATTERSON LCSW (NPI 1174399950) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0904016139) and active in the NPI registry since December 2023. She has opted out of Medicare through February 7, 2028.

NPPES Registry Identity

NPI1174399950
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMALISSA WATTERSONCredential: LCSW
Location Address3 BOARS HEAD LN STE C6Charlottesville, VA 22903-4604
Mailing Address6795 Dartmouth AveRichmond, VA 23226-2921
Phone(434) 566-0113
Sole ProprietorNo
Enumeration DateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1174399950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904016139
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3 BOARS HEAD LN STE C6, Charlottesville, VA 22903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Malissa Watterson Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 7, 2024 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2024
Opt-Out In Effect ThroughFebruary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHMOND CENTER FOR COGNITIVE BEHAVIORAL THERAPY
Psychologist (Clinical)
3 BOARS HEAD LN STE C6
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 509-1599
HANNAH ROBINSON LCSW
Social Worker (Clinical)
3 BOARS HEAD LN STE C6
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 566-0113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malissa Watterson's NPI number?

The NPI number for Malissa Watterson is 1174399950. It was assigned to this individual provider in the NPPES registry on December 1, 2023.

Where is Malissa Watterson located?

Malissa Watterson practices at 3 Boars Head Ln Ste C6, Charlottesville, VA 22903. The listed phone number is (434) 566-0113.

What is Malissa Watterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Malissa Watterson enrolled in Medicare?

No. Malissa Watterson has opted out of Medicare through February 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Malissa Watterson was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.