RENEE LYNN WATTERS (NPI# 1215946041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215946041 |
| Entity Type | Individual |
| Full Name | RENEE LYNN WATTERS |
| Other Name | RENEE LYNN KORBEL |
| Practice Address |
611 S Charles St Baltimore MD 21230-3801 |
| Mailing Address |
6791 Old Waterloo Rd Apt 718 Elkridge MD 21075-7185 |
| Practice Telephone | 4103282293 |
| Practice Fax Number | 4103285895 |
| Mailing Telephone | 2187917662 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12680 | MD | Behavioral Health & Social Service Providers |
| Street Address |
611 S CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487662243 | Independent Dialysis Foundation, Inc | Clinic/Center | 611 S Charles St, Baltimore, MD 21230-3801 | 2006-08-04 |
| 1821348608 | Melanie L Ervin | Registered Nurse | 611 S Charles St, Carruthers Clinic, Baltimore, MD 21230-3801 | 2012-09-19 |
| 1871887679 | Carrie H Etheridge | Social Worker | 611 S Charles St, Baltimore, MD 21230-3801 | 2011-06-09 |
| 1306130117 | University of Maryland Medical Center | Social Worker | 611 S Charles St, Suite 4, Baltimore, MD 21230-3801 | 2011-06-09 |
| 1437488103 | Shawna Denise Brown | Social Worker | 611 S Charles St, 4th Floor, Baltimore, MD 21230-3801 | 2009-12-09 |
| 1962659557 | Elizabeth Custodio Bowery | Student in an Organized Health Care Education/Training Program | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2008-08-26 |
| 1841453339 | Kristan Halaiko | Social Worker | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2008-07-07 |
| 1275744351 | Carole M Booth | Psychologist | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2007-05-24 |
| 1093924565 | Elliot L Hong | Psychologist | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2007-05-22 |
| 1992714893 | Stepahnie Christine Boudreau | Social Worker | 611 S Charles St, Baltimore, MD 21230-3801 | 2006-08-07 |
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|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.