Jason Todd Waterman, LMSW, LCSWA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P020375 Issued in NC

Practice address

2880 Slater Rd
Morrisville, NC 27560-6400

Phone

(484) 682-9281

NPI assigned

Aug 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Morrisville Counseling and Consulting PLLC

  • Professional Counselor
  • Morrisville, NC
  • NPI 1740831288
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1194508754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 SLATER RD STE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606400",
            "telephone_number": "484-682-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SLATER RD",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606400",
            "telephone_number": "484-682-9281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Hungerford Dr Ste 35B",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208501753",
            "country_code": "US",
            "telephone_number": "812-345-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "JASON",
        "middle_name": "TODD",
        "credential": "LMSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "30563",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P020375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (WalMart Pharmacy 10-4250)
• Walgreen Co (Walgreens #10276)
• Deidra Ann Walker, LCSWA
• Chesney Chea Ward
• Craig A. Warner, M.D.
• Renee Watts
• Paige Weber, OD
• Ellen Weinel, PT
• Mark Kilby Wells, OD
• Leigh E Wertman, OTR/L

• Social Worker in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.