Individual provider Active NPI

Andres Waters, LCSW

  • Clinical Social Worker
  • New Castle, DE
National Provider Identifier
1891403184
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012158 Issued in DE
Practice address
100 W Commons Blvd Ste 301
New Castle, DE 19720-2419
Phone
(302) 224-1400
Fax
(302) 224-1402
NPI assigned
Nov 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0012158 DE Primary

Addresses

Primary practice location

100 W Commons Blvd Ste 301
New Castle, DE 19720-2419

Mailing address

100 W Commons Blvd Ste 301
New Castle, DE 19720-2419
Phone (302) 224-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314001687 DE Practitioner - Clinical Social Worker 9638691058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

100 W Commons Blvd
Ste 301
New Castle, DE 19720
Phone (302) 428-0205

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1891403184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COMMONS BLVD STE 301",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202419",
            "telephone_number": "302-224-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W COMMONS BLVD STE 301",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202419",
            "telephone_number": "302-224-1400",
            "fax_number": "302-224-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "ANDRES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.