Virginia Ruth Waterman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008024 Issued in NC

Practice address

209 Millstone Dr Ste B
Hillsborough, NC 27278-8776

Phone

(919) 245-1056

Fax

(919) 245-0834

NPI assigned

Jan 4, 2012

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

Other identifiers 1

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.

• Carolina Behavioral Care, P.a.

  • Psychiatry Physician
  • Apex, NC
  • NPI 1932821303
  NPD (past)
• Low Vision Rehab Solutions, LLC

  • Occupational Therapist
  • Raleigh, NC
  • NPI 1205508363
  NPD (past)
• Triumph LLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1003961269
  NPD (past)

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1740550011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MILLSTONE DR STE B",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788776",
            "telephone_number": "919-245-1056",
            "fax_number": "919-245-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MILLSTONE DR STE B",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788776",
            "telephone_number": "919-245-1056",
            "fax_number": "919-245-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "VIRGINIA",
        "middle_name": "RUTH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE BOARD OF SOCIAL WORK",
            "identifier": "LCSW   C008024",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lauren Lantrip Walsh, ARNP
• Christopher Lee Walton, PHARMD
• Zong Yao Wang, MBBS, MHS, MBA
• Roosevelt Ward
• Maria Paula Warren, FNP-BC
• Cynthia Burns Weeks, M.D.
• Jonathan W Weeks, PA
• Susan Marie Weeks, MD
• Allison Caroline Weis, PA-C
• Wellcare Compounding (Wellcare Compounding LLC)

• Clinical Social Worker in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.