Active NPI
Elizabeth Waters, LICSW, LCSW-C
- Clinical Social Worker
- Chevy Chase, MD
National Provider Identifier
1467770107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50078897
- Practice address
- 5480 Wisconsin Ave
LL8
Chevy Chase, MD 20815-3530 - Phone
- (301) 346-4670
- NPI assigned
- May 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50078897 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 16698 | MD |
Addresses
Primary practice location
5480 Wisconsin Ave
LL8
Chevy Chase, MD 20815-3530
Mailing address
122 Hesketh St
Chevy Chase, MD 20815-4223
Phone (301) 801-6425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50078897 | DC | MD | Clinical Social Worker |
| 16698 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1467770107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 HESKETH ST",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154223",
"telephone_number": "301-801-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "LL8",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "301-346-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LICSW, LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078897",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16698",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
- Washington Eye Physicians & Surgeons, P.C.
- Washington Nephrology Associates, L.L.P.
- Washington Open MRI Inc
- Washington Orthopaedics and Sports Medicine, P.a.
- Washington Radiology Associates, PLLC
- Richard Merle Waugaman, M.D.
- Amanda L Webster, PA-C
- Robyn L. Wechsler, MD
- Susan S Wechsler, PH.D.
- Renee Weems
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.