Individual provider Active NPI

Desiree Waters, MSW, LISW

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1114721032
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851116430 Issued in MI
Practice address
2157 University Park Dr
Okemos, MI 48864-5956
Phone
(517) 243-9738
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2607852 OH
Clinical Social Worker 1041C0700X 6851116430 MI Primary

Addresses

Primary practice location

2157 University Park Dr
Okemos, MI 48864-5956

Mailing address

242 Trail CT
Newark, OH 43055-9283
Phone (231) 409-3256

Other practice location 1

4653 E Main St
Columbus, OH 43213-3298
Phone (614) 875-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231003018 MI Practitioner - Clinical Social Worker 5092201749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Health Therapy Center LLCGroup PAC ID 2062788706, 16 clinicians

Practice addresses (Care Compare)

2157 University Park Dr
Suite 1
Okemos, MI 48864-5956
Phone (517) 243-9738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851116430MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Therapy Center LLC Clinical CurrentSince Dec 18, 2025 Accepting new patients

Locations

2157 University Park Dr
Ste 1
Okemos, MI 48864
Phone (517) 243-9738

2157 University Park Dr
Okemos, MI 48864
Phone (517) 243-9738

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1114721032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 TRAIL CT",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559283",
            "telephone_number": "231-409-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 UNIVERSITY PARK DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645956",
            "telephone_number": "517-243-9738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4653 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432133298",
            "country_code": "US",
            "telephone_number": "614-875-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "DESIREE",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2607852",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.