Individual provider · Type 1 NPI

Jesse Waterman, LMSW

Clinical Social Worker · Baltimore, MD

NPI number 1124585211 Active

Practice location

1011 N Charles St
Baltimore, MD 21201-5424

Mailing address

5613 Winthrope Ave
Baltimore, MD 21214-2754

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker 1041C0700X24653 (MD)
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 1124585211

Jesse Waterman, LMSW's National Provider Identifier is 1124585211, issued on Feb 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Apr 25, 2021.