David Waters, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KSWB-5155 Issued in KY

Practice address

409 W New Circle Rd
Lexington, KY 40511-1832

Phone

(859) 800-5353

Fax

(859) 554-0408

NPI assigned

Jul 8, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

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.

• Crossroads Counseling Services, Inc.

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1962931972

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• DJG LLC

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1417608738

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Commonhealth LLC

  • Rural Health Clinic/Center
  • Frankfort, KY
  • NPI 1710821525

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1427400977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W NEW CIRCLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111832",
            "telephone_number": "859-800-5353",
            "fax_number": "859-554-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W NEW CIRCLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111832",
            "telephone_number": "859-800-5353",
            "fax_number": "859-554-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "DAVID",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KSWB-5155",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "CADCB-165614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KSWB-5155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Wassef, DMD
• Joanna Watercutter
• Lesley Colleen Waters-Kellar, DO
• Anna Ruth Waters, MS CF SLP
• Christine Waters, ATC
• Elizabeth Ashley Waters, MA, MS, CCC-SLP
• Kaci M Wathen, AUD
• Katherine Calloway Wathen
• Melissa Lynn Watkins-Henson
• Bryce Watkins, MSSW, CSW

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.