Individual provider · Type 1 NPI

Jessica Waterman, LCSW

Clinical Social Worker · Latham, NY

NPI number 1902355159 Active

Practice location

4 Avis Dr Ste 101
Latham, NY 12110-2650

Call (518) 560-4277 Map

Fax (518) 662-4277

Mailing address

1721 Central Ave
Colonie, NY 12205-4799

Other practice locations

  • 1721 Central Ave, Colonie, NY 12205-4799 · (518) 903-9671

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X090268

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…

22 other providers at this address

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About NPI 1902355159

Jessica Waterman, LCSW's National Provider Identifier is 1902355159, issued on Sep 29, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Latham, NY. The record was last updated on Jul 10, 2026.