Individual provider Active NPI

Judith Waterman Kamara, BSNRN, CLC, LCSW

  • Clinical Social Worker
  • Homer, AK
National Provider Identifier
1194078683
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
198321 Issued in AK
Practice address
1044 E End Rd BLDG Suitec
Homer, AK 99603-7253
Phone
(907) 630-0639
Fax
(190) 763-0063
NPI assigned
Oct 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 221620 MA
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X RN254692 MA
Lactation Consultant (Registered Nurse) 163WL0100X 193503 AK
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 198321 AK Primary

Addresses

Primary practice location

1044 E End Rd BLDG Suitec
Homer, AK 99603-7253

Mailing address

PO Box 1881
Homer, AK 99603-1881
Phone (907) 630-0639

Other names 1

  • Judith Waterman Kamara Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4300 Bartlett St
Homer, AK 99603-7000

4300 Bartlett St
Homer, AK 99603-7005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
198321AKMDClinical Social Worker
221620MAMDClinical Social Worker
193503AKMDLactation Consultant (Registered Nurse)
RN254692MAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Me to Wee Counseling Services, LLC Clinical CurrentSince Aug 17, 2025 Accepting new patients

Locations

1044 East End Rd
Bldg Suitec
Homer, AK 99603
Phone (907) 630-0639

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": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1194078683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1881",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996031881",
            "telephone_number": "907-630-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 E END RD BLDG SUITEC",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037253",
            "telephone_number": "907-630-0639",
            "fax_number": "190-763-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "JUDITH",
        "middle_name": "WATERMAN",
        "credential": "BSNRN, CLC, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "221620",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "RN254692",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AK",
            "license": "193503",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "198321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "KAMARA",
            "middle_name": "WATERMAN",
            "credential": "BSNRN, CLC, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.