Cheryl Waterman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 13403 Issued in FL

Practice address

20340 NW 29TH CT
Miami Gardens, FL 33056-1903

Phone

(305) 305-2326

NPI assigned

Apr 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Kathleen Beatrice King Services Inc

  • Early Intervention Provider Agency
  • Miami Gardens, FL
  • NPI 1255799441
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1144753104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20340 NW 29TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561903",
            "telephone_number": "305-305-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20340 NW 29TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561903",
            "telephone_number": "305-305-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 13403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF  MEDICAL QUALITY ASSURANCE",
            "identifier": "SW 13403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Walker
• Vivian Michael Walker, MS
• Martha Wallen, PHARM.D.
• Andrea Wanza, LMHC
• Waterfold Centers Corp
• Edgar Carlos Waugh
• Weeman Services Solutions Corp
• Nicole Weissman, PT, DPT
• Wellvita,Inc
• Travis Westry

• Clinical Social Worker in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.