Elisha M. Watts Heverly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW027638 Issued in PA

Practice address

1646 N Atherton St # 1092
State College, PA 16803-1416

Phone

(814) 933-8394

NPI assigned

Dec 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elisha M Heverly Professional name

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": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1467315440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 N ATHERTON ST # 1092",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031416",
            "telephone_number": "814-933-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 N ATHERTON ST # 1092",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031416",
            "telephone_number": "814-933-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS HEVERLY",
        "first_name": "ELISHA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISHA",
            "last_name": "HEVERLY",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mackenzie Rae Warden, LPC,MS,NCC
• Chloe Lynn Waters, MD
• Lori A Waters, LPC CAC
• Lauren Watkins, M. ED LPC
• Sarah Watson, M.A.
• Jennifer Rachle Waugh
• Carleigh E Weaver, MS, LBS
• Jane Weaver
• Priscilla Weaver
• Scott J Weaver, PTA

• Clinical Social Worker in State College, PA
• Providers in State College, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; 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.