PHYLLIS DEWATERS LMSW
NPI 1053412577
Social Worker - Clinical in Kalamazoo, MI

Active since September 26, 2006
222 N KALAMAZOO MALL STE 100, KALAMAZOO, MI 49007(269) 345-0273 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Phyllis Dewaters Lmsw NPPES

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

PHYLLIS DEWATERS LMSW (NPI 1053412577) is an individual clinical provider in Kalamazoo, Michigan, licensed in Michigan (6801063264) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1053412577
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS DEWATERSCredential: LMSW
Location Address222 N KALAMAZOO MALL STE 100Kalamazoo, MI 49007-3899
Mailing Address222 N Kalamazoo Mall Ste 100Kalamazoo, MI 49007-3899 · (269) 345-0273
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJanuary 7, 2019
NPI 1053412577 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 MI · 6801063264
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.
222 N KALAMAZOO MALL STE 100, Kalamazoo, MI 49007

Other Identifiers 1

Medicaid1053412577MI

Other Providers at the Same Location NPPES 7

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

Social Worker
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Internal Medicine (Hospice and Palliative Medicine)
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Family Medicine (Hospice and Palliative Medicine)
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker (Clinical)
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker (Clinical)
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007
Social Worker
222 N KALAMAZOO MALL STE 100
KALAMAZOO, MI 49007

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 Phyllis Dewaters's NPI number?

The NPI number for Phyllis Dewaters is 1053412577. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Phyllis Dewaters located?

Phyllis Dewaters practices at 222 N Kalamazoo Mall Ste 100, Kalamazoo, MI 49007. The listed phone number is (269) 345-0273.

What is Phyllis Dewaters'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 Phyllis Dewaters was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.