Tracy Waters, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

OR SWL 1361 Issued in OR

Practice address

2036 Main St
Suite 204
Forest Grove, OR 97116-2374

Phone

(503) 359-1515

Fax

(503) 359-1433

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• West End Counseling Associates Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• West End Counseling Associates, LLC

  • Clinical Social Worker
  • Forest Grove, OR
  • NPI 1942917034
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487723607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971160428",
            "telephone_number": "503-359-1515",
            "fax_number": "503-359-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 MAIN ST",
            "address_2": "SUITE 204",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162374",
            "telephone_number": "503-359-1515",
            "fax_number": "503-359-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "OR SWL 1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WEST END",
            "last_name": "ASSOCIATES",
            "middle_name": "COUNSELING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vop Grove Pointe, LLC
• Tina Diem Vuong
• Jacob Travis Waldron
• Amy Elizabeth Walker, PT
• Dan Yang Wang
• Sara Wegner
• Emry Dean Wells
• Colleen Stacy Wesel, P.T.
• West End Counseling Associates, LLC
• Michaela Roxana Westover, FNP-BC

• Clinical Social Worker in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.