James David Waites, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5628C Issued in AL

Practice address

2025 Shady Crest Dr
Hoover, AL 35216-5417

Phone

(205) 598-6471

NPI assigned

Mar 4, 2024

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1831956200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352224135",
            "telephone_number": "334-580-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SHADY CREST DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165417",
            "telephone_number": "205-598-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5713 11th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352224135",
            "country_code": "US",
            "telephone_number": "334-580-7568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITES",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5628C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjana Vitta
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• Jamie Lynn Wade
• Rachael Reddy Wade, DRPH, MS, RD, LD
• Mary Elizabeth Wagner
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• Dylan Anthony Waldrip, PT, DPT

• Clinical Social Worker in Hoover, AL
• Providers in Hoover, AL by specialty
• Clinical Social Worker in Alabama

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