JOHN M WATERS (NPI# 1396874939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396874939 |
| Entity Type | Individual |
| Full Name | JOHN M WATERS |
| Credential | LCSW |
| Practice Address |
327 1st Ave Nw Hickory NC 28601-6122 |
| Practice Telephone | 8286955900 |
| Practice Fax Number | 8286954256 |
| Mailing Telephone | 8286955900 |
| Mailing Fax Number | 8286954256 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C003438 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | SENTRA | 83783 | 01 |
| NC | 6003493 | 05 | |
| NC | MEDCOST | 186608 | 01 |
| NC | BCBS OF NC | 128WU | 01 |
| NC | CIGNA | 2069682 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966889 | John Francis Waters | In Home Supportive Care | 2153 Niagara Dr, Lakewood, OH 44107-5434 | 2020-09-11 |
| 1932410115 | John Michael Waters | Dentist | 512 Reed Rd, Anderson, SC 29621-2058 | 2010-06-23 |
| 1912132028 | John F Waters | Nurse Practitioner | 8401 Claude Thomas Rd Ste 21d, Franklin, OH 45005 | 2009-05-18 |
| 1992876619 | John Stuart Waters | Dentist | 420 E Church St, Sandwich, IL 60548-2206 | 2006-11-13 |
| 1861017196 | John S Waters | Social Worker | 2100 Stella Ct # 221, Columbus, OH 43215-1011 | 2020-06-12 |
| 1639676208 | John Mitchell Waters | Counselor | 7209 Hamilton Acres Cir, Chattanooga, TN 37421-8623 | 2018-04-10 |
| 1710205208 | John Keene Waters | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd Ste 540, Plano, TX 75093-5339 | 2010-05-10 |
| 1124120803 | John Waters | Psychiatry & Neurology | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-09-02 |
| 1245340041 | John Roland Waters | Pharmacist | 10 N Beachview Dr, Jekyll Island, GA 31527-0816 | 2006-08-30 |
| 1114985074 | John Thomas Waters Jr. | Physical Therapist | 2804 Audubon Village Dr, Norristown, PA 19403-2262 | 2006-05-02 |
| Street Address |
327 1ST AVE NW |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907361 | Gary Wayne Poston | Physician Assistant | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2005-07-28 |
| 1619578010 | Lisa M Lacy | Social Worker | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2020-11-03 |
| 1235780487 | Rachel Jordan Polanski | Physician Assistant | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2019-09-27 |
| 1235609264 | Rikki L Rogers | Social Worker | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2018-12-03 |
| 1578043477 | October Evans Makabin | Social Worker | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2018-08-20 |
| 1174026710 | Crystal N Burrell | Counselor | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2018-03-09 |
| 1871008649 | Dawn Lorraine Mcneely | Nurse Practitioner | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2017-12-02 |
| 1538511225 | Francis Sterling Penland | Nurse Practitioner | 327 1st Ave Nw, Hickory, NC 28601 | 2016-07-06 |
| 1487004545 | Tiffany Nicole Randazza | Counselor | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2016-06-20 |
| 1316396260 | Jan E Carroll | Counselor | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251567 | Natalie Marie Angulo | Social Worker | 2110 Main Ave Se, Hickory, NC 28602-1405 | 2020-10-02 |
| 1174163067 | Christian Elaine Beheler | Social Worker | 1073 13th St Se, Hickory, NC 28602-4165 | 2020-01-08 |
| 1336784958 | Nicole M Mcmanus | Social Worker | 1940 3rd Avenue Ln Se, Hickory, NC 28602-2959 | 2019-11-07 |
| 1295234524 | Michelle Mclane Pandolfo | Social Worker | 2045 10th Street Ln Nw, Hickory, NC 28601-1777 | 2018-02-01 |
| 1104340892 | Chelsey Harrill Morrow | Social Worker | 2359 Us Highway 70 Se # 357, Hickory, NC 28602-8300 | 2017-08-03 |
| 1235681412 | Jessica Anne Spears | Social Worker | 5420 Valley Run St, Hickory, NC 28601-9453 | 2016-11-03 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1962862862 | Sylvia Tobiasz | Social Worker | 422 5th St Se, Hickory, NC 28602-3901 | 2016-03-04 |
| 1144608332 | Alan Roger Crooks Jr. | Social Worker | 2359 Us Highway 70 Se, #357, Hickory, NC 28602-8300 | 2015-05-08 |
| Find all providers in HICKORY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.