Tylicia Watkins
Case Manager/Care Coordinator in Laurel, MD. Individual provider (NPI-1).
NPI number1376934166
StatusActive
Last updated in NPPESFeb 15, 2015
Details
- NPI
- 1376934166
- Entity type
- Individual (NPI-1)
- Name
- Tylicia Watkins
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2015
- Last updated
- Feb 15, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | rn50260 | DC | Yes |
Practice location
12105 Westlock PlLaurel, MD 20708-2422
Phone 301-775-7841
Mailing address
12105 Westlock PlLaurel, MD 20708-2422
Phone 301-775-7841
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 128 Case Manager/Care Coordinator providers in Laurel · All 3,583 providers in Laurel
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