MARY JOHNETT WATERMAN LCSW
NPI 1275642928
Social Worker - Clinical in Shreveport, LA

Active since August 29, 2006
820 JORDAN ST, SUITE 220, SHREVEPORT, LA 71101(318) 226-8753(318) 226-8754 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Johnett Waterman Lcsw NPPES

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

MARY JOHNETT WATERMAN LCSW (NPI 1275642928) is an individual clinical provider in Shreveport, Louisiana, licensed in Louisiana (2689) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1275642928
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY JOHNETT WATERMANCredential: LCSW
Location Address820 JORDAN ST, SUITE 220Shreveport, LA 71101-4519
Mailing Address820 Jordan St, Suite 220Shreveport, LA 71101-4519 · (318) 226-8753 · Fax (318) 226-8754
Fax(318) 226-8754
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275642928 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 LA · 2689
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.
820 JORDAN ST, Shreveport, LA 71101

Other Identifiers 1

Medicare ID-Type Unspecified5X617LA

Accepted Insurance

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.

Marriage & Family Therapist
820 JORDAN ST, SUITE 570
SHREVEPORT, LA 71101
Contractor
820 JORDAN ST, STE 510 B
SHREVEPORT, LA 71101
Counselor (Professional)
820 JORDAN ST, SUITE 401
SHREVEPORT, LA 71101
Social Worker (Clinical)
820 JORDAN ST, STE. 570
SHREVEPORT, LA 71101
Counselor (Mental Health)
820 JORDAN ST
SHREVEPORT, LA 71101
Prosthetic/Orthotic Supplier
820 JORDAN ST, SUITE 110
SHREVEPORT, LA 71101
Internal Medicine
820 JORDAN ST, SUITE 210
SHREVEPORT, LA 71101
Clinic/Center (Physical Therapy)
820 JORDAN ST, STE 370
SHREVEPORT, LA 71101

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 Waterman's NPI number?

The NPI number for Mary Waterman is 1275642928. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Mary Waterman located?

Mary Waterman practices at 820 Jordan St Suite 220, Shreveport, LA 71101. The listed phone number is (318) 226-8753.

What is Mary Waterman's specialty?

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

What insurance does Mary Waterman accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and Providence Health Plan list Mary Waterman 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 Waterman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.