Amber Rose Waters

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

133906 Issued in CA

Practice address

401 Paloma Ave
Pacifica, CA 94044-2436

Phone

(650) 550-7455

NPI assigned

Sep 10, 2026

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jefferson Union High School District

  • Local Education Agency (LEA)
  • Daly City, CA
  • NPI 1821112954
  NPD (past)

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1720998834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EDGEMONT DR BLDG A",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153868",
            "telephone_number": "650-550-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PALOMA AVE",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442436",
            "telephone_number": "650-550-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "133906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #11261)
• Glenna I Walker, RN
• Joelle Wallstrom, CMT,CMA
• Kimberley Wan
• Paul Wang, PHARM. D
• West Bay Sleep Lab
• Renesha Westerfield
• Ankita Seal Wheeler, M.S., CCC-SLP
• Heather Jean Whyte, LMFT
• Alan F Wilhelmi

• Clinical Social Worker in Pacifica, CA
• Providers in Pacifica, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.