Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEBRA JEAN WAITE LICSW
NPI 1023084480
Social Worker - Clinical in Saint Louis Park, MN

Active since February 27, 2006
5100 GAMBLE DR, SUITE 100 MAIL STOP 31200A, SAINT LOUIS PARK, MN 55416(952) 593-8777(952) 595-6408 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra Jean Waite Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA JEAN WAITE LICSW (NPI 1023084480) is an individual clinical provider in Saint Louis Park, Minnesota, licensed in Minnesota (2163) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1023084480
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBRA JEAN WAITECredential: LICSW
Location Address5100 GAMBLE DR, SUITE 100 MAIL STOP 31200ASaint Louis Park, MN 55416-1521
Mailing Address8100 34th Ave S, 21110qBloomington, MN 55425-1672 · (952) 883-7961 · Fax (952) 883-5395
Fax(952) 595-6408
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1023084480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 2163
Definition
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.
5100 GAMBLE DR, Saint Louis Park, MN 55416

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5100 GAMBLE DR, STE 100
ST LOUIS PARK, MN 55416
Physician Assistant
5100 GAMBLE DR, SUITE 100
ST LOUIS PARK, MN 55416
Dentist (General Practice)
5100 GAMBLE DR, STE 100
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
5100 GAMBLE DR, STE 100 MAIL STOP 31200A
SAINT LOUIS PARK, MN 55416
Family Medicine
5100 GAMBLE DR, SUITE 100 - MAIL STOP 31200A HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416
Optometrist
5100 GAMBLE DR, MAIL STOP 31200A STE 100
SAINT LOUIS PARK, MN 55416
Family Medicine
5100 GAMBLE DR, SUITE 100 - MAIL STOP 31200A HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416
Marriage & Family Therapist
5100 GAMBLE DR, STE 100 MAIL STOP 31200A
SAINT LOUIS PARK, MN 55416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Waite's NPI number?

The NPI number for Debra Waite is 1023084480. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Debra Waite located?

Debra Waite practices at 5100 Gamble Dr Suite 100 Mail Stop 31200A, Saint Louis Park, MN 55416. The listed phone number is (952) 593-8777.

What is Debra Waite's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Debra Waite was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.