Active NPI
Suzanne Alain Waters
- Clinical Social Worker
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20042
- Practice address
- 8524 S Western Ave Ste 115
Oklahoma City, OK 73139-9248 - Phone
- (405) 252-0515
- Fax
- (405) 698-2776
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20042 | OK | Primary |
Addresses
Primary practice location
8524 S Western Ave Ste 115
Oklahoma City, OK 73139-9248
Mailing address
12312 S Land Ave
Oklahoma City, OK 73170-4514
Phone (405) 252-0515
Other practice location 1
112 N Broadway St Ste E
Moore, OK 73160-5138
Phone (405) 252-0515
Other practice location 2
2801 Parklawn Dr Ste 201
Midwest City, OK 73110-4229
Other practice location 3
10344 Greenbriar Pkwy
Oklahoma City, OK 73159-7643
Phone (405) 252-0515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1003 Alabaster CV
Sanford, FL 32771-3607
12312 S Land Ave
Oklahoma City, OK 73170-4514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathwork Counseling PLLC | Clinical | Current | Accepting new patients |
Locations
112 N Broadway St
Ste E
Moore, OK 73160
Phone (405) 252-0515
10344 Greenbriar Pkwy
Oklahoma City, OK 73159
Phone (405) 691-6567
8524 S Western Ave
Ste 115
Oklahoma City, OK 73139
Phone (405) 252-0515
Organizations & group practices 1
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": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774137600000",
"number": "1467919258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12312 S LAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704514",
"telephone_number": "405-252-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8524 S WESTERN AVE STE 115",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399248",
"telephone_number": "405-252-0515",
"fax_number": "405-698-2776"
}
],
"practiceLocations": [
{
"address_1": "112 N Broadway St Ste E",
"address_purpose": "LOCATION",
"city": "Moore",
"state": "OK",
"postal_code": "731605138",
"country_code": "US",
"telephone_number": "405-252-0515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2801 Parklawn Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Midwest City",
"state": "OK",
"postal_code": "731104229",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10344 Greenbriar Pkwy",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731597643",
"country_code": "US",
"telephone_number": "405-252-0515",
"fax_number": "405-698-2776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATERS",
"first_name": "SUZANNE",
"middle_name": "ALAIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2026-03-22",
"certification_date": "2026-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "20042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.