Individual provider Active NPI

Sarah Rose Waterman, LMSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1437798105
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100469 Issued in NY
Practice address
1509 Edgemere Dr
Rochester, NY 14612-1513
Phone
(313) 820-3384
NPI assigned
Dec 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100469 NY Primary
Clinical Social Worker 1041C0700X 6801114422 MI

Addresses

Primary practice location

1509 Edgemere Dr
Rochester, NY 14612-1513

Mailing address

1509 Edgemere Dr
Rochester, NY 14612-1513

Other practice location 1

15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155
Phone (313) 820-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20231127002069 MI Practitioner - Clinical Social Worker 0345698601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ellie Sem Clinic PLLCGroup PAC ID 2668828930, 5 clinicians

Practice addresses (Care Compare)

15930 19 Mile Rd
Suite 150
Clinton Township, MI 48038-1155
Phone (586) 281-5866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100469NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Sem Clinic, PLLC Clinical CurrentSince Nov 27, 2023 Accepting new patients
Macomb Oakland Regional Center Inc. PastSince Nov 19, 2023 Accepting new patients

Locations

15930 19 Mile Rd
Ste 150
Clinton Twp, MI 48038
Phone (586) 281-5866

Organizations & group practices 2

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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1437798105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 EDGEMERE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146121513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 EDGEMERE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146121513",
            "telephone_number": "313-820-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15930 19 Mile Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381155",
            "country_code": "US",
            "telephone_number": "313-820-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100469",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.