Provider Demographics
NPI:1447528146
Name:WATKINS, HAROLD L II (MSW, MPA)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:L
Last Name:WATKINS
Suffix:II
Gender:M
Credentials:MSW, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 CHAMBERLAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-4202
Mailing Address - Country:US
Mailing Address - Phone:804-264-2963
Mailing Address - Fax:804-264-2965
Practice Address - Street 1:3900 CHAMBERLAYNE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-4202
Practice Address - Country:US
Practice Address - Phone:804-264-2963
Practice Address - Fax:804-264-2965
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical