Organization Active NPI

Watermark Wellness

  • Clinical Social Worker
  • Elkins Park, PA
National Provider Identifier
1942048509
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WATERMARK WELLNESS
Practice address
8310 Cedar Rd
Elkins Park, PA 19027-2141
Phone
(203) 510-7537
NPI assigned
Jul 17, 2024
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Tamar Kornitzer, LCSWNPI 1215435508
Title
Practice Owner
Phone
(203) 510-7537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary
Health & Wellness Coach 171400000X

Addresses

Primary practice location

8310 Cedar Rd
Elkins Park, PA 19027-2141

Mailing address

89 Clowes Ter
Waterbury, CT 06710-1605
Phone (203) 510-7537

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1942048509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CLOWES TER",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101605",
            "telephone_number": "203-510-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 CEDAR RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272141",
            "telephone_number": "203-510-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "KORNITZER",
        "authorized_official_first_name": "TAMAR",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "203-510-7537",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.