Julianna Waters, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2149 Issued in OR

Legal business name

JULIANNA WATERS, LCSW, LLC

Practice address

833 SW 11TH Ave
Suite 428
Portland, OR 97205-2125

Phone

(503) 225-0908

Fax

(503) 225-0913

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Julianna Waters, LCSW

Title

President

Phone

(503) 225-0908

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1376741215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "SUITE 428",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "503-225-0908",
            "fax_number": "503-225-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "SUITE 428",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "503-225-0908",
            "fax_number": "503-225-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANNA WATERS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "JULIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-225-0908",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anantha Poojitha Jujjuri, PA
• Jules R. Altfas, M.D., P.C.
• Jules Squires Counseling, LLC
• Julia Hilton LLC
• Juliana Friedman, BC-DMT, LPC
• Julie Koroch Acupuncture LLC
• Julie Westlin-Naigus Yoga
• Judith Diane Julien, PSY.D.
• Heather Renee Julius, RN
• Jun Ao, Psy.D., LLC

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.