Joanne Waters, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056614 Issued in NY

Practice address

296 N Main St Ste 1
Sayville, NY 11782-2515

Phone

(631) 786-9361

Fax

(631) 581-5467

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356561310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DIXIE LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302615",
            "telephone_number": "631-650-1628",
            "fax_number": "631-581-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 N MAIN ST STE 1",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822515",
            "telephone_number": "631-786-9361",
            "fax_number": "631-581-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Walker, RN
• Danielle Wall, LMSW
• Kaitlyn Walsh
• Aimee Lynn Walter
• Emily Waters, LMSW, MPA
• Allen Weisberger, DDS
• West Babylon Family Health NP PC
• Nancy J Westgate, DSW
• What'S Next Occupational Therapy, PLLC
• Jinell White

• Clinical Social Worker in Sayville, NY
• Providers in Sayville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.