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KEVIN L WATERMAN CADC
NPI 1336032663
Counselor - Addiction (Substance Use Disorder) in Gardner, MA

Active since June 03, 2025
171 GRAHAM ST, GARDNER, MA 01440(978) 632-4574(978) 632-4572 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin L Waterman Cadc NPPES

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

KEVIN L WATERMAN CADC (NPI 1336032663) is an individual addiction (substance use disorder) provider in Gardner, Massachusetts, licensed in Massachusetts (1497) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1336032663
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN L WATERMANCredential: CADC
Location Address171 GRAHAM STGardner, MA 01440-3847
Mailing Address171 Graham StGardner, MA 01440-3847 · (978) 632-4574 · Fax (978) 632-4572
Phone(978) 632-4574
Fax(978) 632-4572
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1336032663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MA · 1497
171 GRAHAM ST, Gardner, MA 01440
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Other Providers at the Same Location NPPES 5

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

JOHN CARDINAL
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574
KEITH JEREMY BLACKBURN
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574
JAMES ANELLO LADCII
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574
JOSEPH FORREST JAMES
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574
PATRICK TOWNSEND
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574

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 Kevin Waterman's NPI number?

The NPI number for Kevin Waterman is 1336032663. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Kevin Waterman located?

Kevin Waterman practices at 171 Graham St, Gardner, MA 01440. The listed phone number is (978) 632-4574.

What is Kevin Waterman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kevin Waterman was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.