MARY-CAROL B. WATERS LCSW
NPI 1053052282
Social Worker - Clinical in Hyde Park, MA
About Mary-carol B. Waters Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY-CAROL B. WATERS LCSW (NPI 1053052282) is an individual clinical provider in Hyde Park, Massachusetts, licensed in Massachusetts (223101) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary-carol B. Waters Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary-carol Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Massachusetts enrollment
- 522 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary-carol Waters's NPI number?
The NPI number for Mary-carol Waters is 1053052282. It was assigned to this individual provider in the NPPES registry on April 3, 2022.
Where is Mary-carol Waters located?
Mary-carol Waters practices at 1530 River St, Hyde Park, MA 02136. The listed phone number is (617) 680-4764.
What is Mary-carol Waters's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary-carol Waters enrolled in Medicare?
Yes. Mary-carol Waters is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary-carol Waters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary-carol Waters reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary-carol Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary-carol Waters accept?
Health plans from Harvard Pilgrim Health Care list Mary-carol Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary-carol Waters was last updated on April 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mary-Carol B. Waters, LCSW · NPI 1053052282
Clinical provider in Hyde Park, Massachusetts. Individual provider, active in the CMS NPPES registry since April 3, 2022.
## Identity
- **NPI:** 1053052282 (Entity type: Individual)
- **Enumerated:** April 3, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 223101 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1530 RIVER ST, Hyde Park, MA 02136-1616
- **Phone:** (617) 680-4764
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 3, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1053052282) · Data from the CMS NPPES public registry.