Active NPIIndividual provider

Mary-Carol B Waters, LCSW

Social Worker, Clinical in Hyde Park, Massachusetts

NPI Number1053052282
Practice location
1530 River St, Hyde Park, MA 02136-1616
Fax
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Last updated
April 3, 2022

Mary-Carol B. Waters is a Social Worker, Clinical based in Hyde Park, MA. Mary-Carol B. Waters practices in Hyde Park, MA and has the professional credentials of LCSW. The NPI Number for Mary-Carol B. Waters is 1053052282 and holds a License No. 223101 (MA). The current practice location address for Mary-Carol B. Waters is 1530 River St, Hyde Park, MA 02136-1616 and can be reached out via phone at 617-680-4764.

Provider Profile Details

NPI Number
1053052282
Provider Name
Mary-Carol B. Waters
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1530 River St, Hyde Park, MA 02136-1616
Phone Number
617-680-4764
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2022
Last Update Date
April 3, 2022
Certification Date
April 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1530 River St
Hyde Park, MA 02136-1616
Zip
02136-1616
Phone Number
617-680-4764
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
1530 River St
Hyde Park, MA 02136-1616
City
Hyde Park
State
MA
Zip
02136-1616
Phone Number
617-680-4764

License Information

License Number
223101
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary-Carol B Waters, LCSW?

The NPI number of Mary-Carol B Waters, LCSW is 1053052282. It was assigned on April 3, 2022 and is currently active in the NPPES registry.

What is the specialty of Mary-Carol B Waters, LCSW?

Mary-Carol B Waters, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 223101.

Where does Mary-Carol B Waters, LCSW practice?

The practice location is 1530 River St, Hyde Park, MA 02136-1616. The office can be reached at 617-680-4764 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053052282 directly on the NPPES registry website.

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