Anita Toyo Waterman, LICSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61473466 Issued in WA

Practice address

1821 N. Leclerc Rd
Cusick, WA 99119

Phone

(509) 447-7111

NPI assigned

Jun 5, 2019

Last updated

May 6, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pendoreilleco/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kalispel Indian Community of the Kalispel Reservation Washington

  • General Practice Physician
  • Cusick, WA
  • NPI 1396937769
  Medicare reassignment NPD
• Kalispel Indian Community of the Kalispel Reservation Washington

  • Land Ambulance
  • Usk, WA
  • NPI 1053800417
  NPD
• Kalispel Tribe-Camas Institute

  dba Kalispel Indian Comm of Kalispel Res Wa

  • Community/Behavioral Health Agency
  • Airway Heights, WA
  • NPI 1518019272
  NPD
• Pend Oreille County Counseling Services

  • Mental Health Counselor
  • Newport, WA
  • NPI 1104978824
  NPD (past)
• Pend Oreille County Counseling Services

  • Mental Health Counselor
  • Newport, WA
  • NPI 1982956561
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1487212239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5055",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991565055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N. LECLERC RD",
            "city": "CUSICK",
            "state": "WA",
            "postal_code": "99119",
            "telephone_number": "509-447-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "ANITA",
        "middle_name": "TOYO",
        "credential": "LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61473466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna Grace Robison, LMP
• April R Sattleen, CMA
• Dillon Raymond Seeber
• Jennifer Marie Tackitt, APRN
• James Douglas Volk, PTA
• Samantha Joann Wynn, SUDPT

• Clinical Social Worker in Cusick, WA
• Providers in Cusick, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.

Verify at the official NPI Registry.