Individual provider · Type 1 NPI

Susan Ann Waterman, LCSW

Clinical Social Worker · Medford, OR

NPI number 1023148376 Active

Practice location

107 E Main St, Suite 7
Medford, OR 97501-6048

Call (541) 772-2791 Map

Fax (541) 772-2791

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1273 (OR)

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 1023148376

Susan Ann Waterman, LCSW's National Provider Identifier is 1023148376, issued on Mar 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Jul 8, 2007.