MYRA N WATERS
NPI 1124774807
Social Worker - Clinical in Los Angeles, CA

Active since February 22, 2022
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 751-3026 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jan 24, 2023, Feb 22, 2022 (3 updates tracked since 2022).

About Myra N Waters NPPES

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

MYRA N WATERS (NPI 1124774807) is an individual clinical provider in Los Angeles, California, licensed in California (ACSW112115) and active in the NPI registry since February 2022. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1124774807
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMYRA N WATERS
Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821 · (323) 751-3026
Sole ProprietorYes
Enumeration DateFebruary 22, 2022
Last NPPES UpdateAugust 4, 20233 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
NPI 1124774807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · ACSW112115
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 112115 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3850 CRENSHAW BLVD, Los Angeles, CA 90008

Secondary Practice Location 1

Location 11433 S Robertson BlvdLos Angeles, CA 90035-3414 · Phone (310) 785-2121

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Counselor (Mental Health)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Nurse Practitioner
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Marriage & Family Therapist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Peer Specialist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Community Health Worker
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008

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 Myra Waters's NPI number?

The NPI number for Myra Waters is 1124774807. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Where is Myra Waters located?

Myra Waters practices at 3850 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 751-3026.

What is Myra Waters'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 Myra Waters was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.