Individual provider Active NPI

Suzanne Alain Waters

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1467919258
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20042 Issued in OK
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

Updated by the provider on Mar 22, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106003000 OK Practitioner - Clinical Social Worker 5496241796 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
20042OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathwork Counseling PLLC Clinical CurrentSince Dec 1, 2025 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

Verify at the official NPI Registry.