Individual provider Active NPI

Garet David Waterhouse, LCSW

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1447425913
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS24560 Issued in CA
Practice address
3438 Mendocino Ave # B
Santa Rosa, CA 95403-2275
Phone
(707) 387-4525
Fax
(707) 861-9292
NPI assigned
Apr 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS24560 CA Primary

Addresses

Primary practice location

3438 Mendocino Ave # B
Santa Rosa, CA 95403-2275

Mailing address

1585 Terrace Way, #115
Santa Rosa, CA 95404-3066
Phone (707) 387-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160504001201 CA Practitioner - Clinical Social Worker 1557660099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonoma Therapy NetworkGroup PAC ID 1759633357, 4 clinicians

Practice addresses (Care Compare)

3438 Mendocino Ave
Suite B
Santa Rosa, CA 95403-2275
Phone (707) 387-4525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS24560CAMDClinical Social Worker
24560CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Therapy Network CurrentSince Oct 26, 2017 Accepting new patients
Sonoma Therapy Network Support Services Inc Clinical PastSince Oct 17, 2018 Accepting new patients

Locations

3438 Mendocino Ave
#B
Santa Rosa, CA 95403
Phone (707) 387-4525

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": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1447425913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 TERRACE WAY, #115",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043066",
            "telephone_number": "707-387-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 MENDOCINO AVE # B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032275",
            "telephone_number": "707-387-4525",
            "fax_number": "707-861-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERHOUSE",
        "first_name": "GARET",
        "middle_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.