KEITH D WATERS (NPI# 1942638960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942638960 |
| Entity Type | Individual |
| Full Name | KEITH D WATERS |
| Practice Address |
13101 Bruce B Downs Blvd Tampa FL 33612-3803 |
| Practice Telephone | 8139740602 |
| Practice Fax Number | 8135581343 |
| Mailing Telephone | 8139740602 |
| Mailing Fax Number | 8135581343 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2015-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205863107 | Keith H Waters | Family Medicine | 103 Fairview Pointe Drive, Simpsonville, SC 29681 | 2006-06-27 |
| Street Address |
13101 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152832 | Christopher B Griffith | Medical Genetics | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2005-05-31 |
| 1306469044 | Nanci Bowie | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-05-28 |
| 1821611575 | Lea Thomas | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-05-28 |
| 1871116624 | Tatiana Elaina Wing | Genetic Counselor, MS | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-05-27 |
| 1679108807 | Shannon R O'grady-ragsdale | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-03-09 |
| 1922639269 | Lissette Tejeda | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-01-27 |
| 1528698685 | Rasheedra Robinson | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-01-17 |
| 1366082836 | Shaqueesha Walker | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-01-13 |
| 1922645985 | Bradlea L Lowman | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2019-12-09 |
| 1306490966 | Sharmaine Dallas | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365157 | Raenequa Baker | Social Worker | 5118 N 56th St Ste 111, Tampa, FL 33610-5440 | 2020-10-31 |
| 1851999429 | Jasmine Torres | Social Worker | 2807 W Busch Blvd, Tampa, FL 33618-4562 | 2020-10-15 |
| 1396350310 | Melania Jean Macip-billbe | Social Worker | 1924 Inner Oak Cir Apt 302, Tampa, FL 33619-7042 | 2020-09-15 |
| 1194339663 | Erin Mcentegart | Social Worker | 4719 W Fair Oaks Ave, Tampa, FL 33611-2117 | 2020-09-02 |
| 1144832213 | Holly J Wilson | Social Worker | 19194 Lake Audubon Dr, Tampa, FL 33647-3232 | 2020-08-20 |
| 1093327504 | Compassionate Counseling of Tampa Bay | Social Worker | 2702 S Beach Dr, Tampa, FL 33629-7503 | 2020-08-18 |
| 1396356192 | Silvia Ximena Perez | Social Worker | 7405 Albany Dr, Tampa, FL 33625-3803 | 2020-08-14 |
| 1164033080 | Tammy J Clevenger | Social Worker | 215 W Verne St, Tampa, FL 33606-2324 | 2020-08-13 |
| 1548878028 | Odat Coaching & Counseling | Social Worker | 812 W Mlk Blvd, Tampa, FL 33603-3338 | 2020-07-21 |
| 1205454329 | Amanda Jennings Farris | Social Worker | 611 S Glen Ave, Tampa, FL 33609-4607 | 2020-07-07 |
| Find all providers in TAMPA | ||||
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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.