MS. CALYSTA R WATSON
NPI 1386926020
Social Worker - Clinical in Oakland, CA

Active since September 19, 2011Opted out of Medicare · through Mar 24, 2028
3600 BROADWAY, OAKLAND, CA 94611(510) 915-8200 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 12, 2017 (2 updates tracked since 2017).

About Ms. Calysta R Watson NPPES

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

MS. CALYSTA R WATSON (NPI 1386926020) is an individual clinical provider in Oakland, California, licensed in California (LCSW78826) and active in the NPI registry since September 2011. She has opted out of Medicare through March 24, 2028.

NPPES Registry Identity

NPI1386926020
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CALYSTA R WATSON
Location Address3600 BROADWAYOakland, CA 94611-5730
Mailing Address340 S. Lemon Ave., #2572Walnut, CA 91789 · (323) 735-3822
Sole ProprietorYes
Enumeration DateSeptember 19, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1386926020 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 CA · LCSW78826
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.

3600 BROADWAY, Oakland, CA 94611

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Calysta R Watson 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 March 24, 2026 through March 24, 2028.

Opt-Out Effective DateMarch 24, 2026
Opt-Out In Effect ThroughMarch 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3600 BROADWAY
OAKLAND, CA 94611
Respiratory Therapist, Registered
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Physical Medicine & Rehabilitation
3600 BROADWAY
OAKLAND, CA 94611

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 Calysta Watson's NPI number?

The NPI number for Calysta Watson is 1386926020. It was assigned to this individual provider in the NPPES registry on September 19, 2011.

Where is Calysta Watson located?

Calysta Watson practices at 3600 Broadway, Oakland, CA 94611. The listed phone number is (510) 915-8200.

What is Calysta Watson's specialty?

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

Is Calysta Watson enrolled in Medicare?

No. Calysta Watson has opted out of Medicare through March 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Calysta Watson accept?

Health plans from Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Calysta Watson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Calysta Watson was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.