Taylor Waters, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023545 Issued in PA

Practice address

940 E Park Dr Ste 206
Harrisburg, PA 17111-2800

Phone

(717) 421-7629

Fax

(717) 430-0757

NPI assigned

Apr 20, 2023

Last updated

Apr 20, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Collaborative Mental Wellness

  • Community/Behavioral Health Agency
  • Harrisburg, PA
  • NPI 1073210803
  NPD

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1922795905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E PARK DR STE 206",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112800",
            "telephone_number": "717-421-7629",
            "fax_number": "717-430-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E PARK DR STE 206",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112800",
            "telephone_number": "717-421-7629",
            "fax_number": "717-430-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TAYLOR",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Wasilewski, PA-C
• Margery L Wasko, MD
• Michele Wasmuth
• Watching Over US Home Care LLC
• Earl L. Waters Jr., DMD
• Christopher A. Watkins, LPC
• Kelly Sue Watkins, HIS
• Samuel Watkins, MA, LPC
• Sheryl Ann Watson, M.ED./BCBA
• Nicole Watts-Jenkins

• Clinical Social Worker in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.