Individual provider · Type 1 NPI

Shannon Watters, LCSW

Clinical Social Worker · Mesa, AZ

NPI number 1790647485 Active

Practice location

1930 S Alma School Rd Ste A206
Mesa, AZ 85210-3066

Call (480) 779-9050 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-23636 (AZ)

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 1790647485

Shannon Watters, LCSW's National Provider Identifier is 1790647485, issued on Dec 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mesa, AZ. The record was last updated on Mar 17, 2026.