Organization · Type 2 NPI

Waters Edge Psychotherapy LLC

Clinical Social Worker · Melbourne, FL

NPI number 1013886464 Active

Practice location

1301 W Eau Gallie Blvd
Melbourne, FL 32935-5398

Mailing address

451 Saint Johns Dr
Satellite Beach, FL 32937-4023

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1013886464

Waters Edge Psychotherapy LLC's National Provider Identifier is 1013886464, issued on Nov 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Melbourne, FL. The record was last updated on Nov 3, 2025.