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GARY WATERS LCSW LMFT LADC NPI 1548519291


NPI Information

NPI: 1548519291
Provider Name: GARY WATERS, LCSW, LMFT, LADC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
815 EUREKA DR
FRIDAY HARBOR, WA
ZIP 98250
Phone: (360) 317-4066
Get Directions

Gary Waters, LCSW, LMFT, LADC is a clinical social worker in Friday Harbor, WA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Gary Waters, LCSW, LMFT, LADC NPI is 1548519291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

815 EUREKA DR
FRIDAY HARBOR, WA
ZIP 98250-910
Phone: (360) 317-4066

The NPI 1548519291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 4/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)426-LCNEVADANo
2101YS0200XCounselorSchool22343NEVADANo
3103TS0200XPsychologistSchool22343NEVADANo
41041C0700XSocial WorkerClinicalLW60737867WASHINGTONYes
51041C0700XSocial WorkerClinical000357-CNEVADANo
61041S0200XSocial WorkerSchool22343NEVADANo
7106H00000XMarriage & Family Therapist13653CALIFORNIANo
8106H00000XMarriage & Family Therapist0127NEVADANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.