ROSA WATERS
NPI 1346983673
Social Worker - Clinical in Salt Lake City, UT

Q: What is Rosa Waters's NPI number?

The NPI number for Rosa Waters is 1346983673. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Q: What is Rosa Waters's specialty?

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

Q: Is Rosa Waters enrolled in Medicare?

No. Rosa Waters has opted out of Medicare through December 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Rosa Waters was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 14, 2022Opted out of Medicare · through Dec 13, 2026

555 FOOTHILL DR, SALT LAKE CITY, UT 84112(801) 646-9236 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Apr 14, 2022 (2 updates tracked since 2022).

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About Rosa Waters NPPES

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

ROSA WATERS (NPI 1346983673) is an individual clinical provider in Salt Lake City, Utah and active in the NPI registry since April 2022. She has opted out of Medicare through December 13, 2026.

NPPES Registry Identity

NPI1346983673

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameROSA WATERS

Location Address555 FOOTHILL DRSalt Lake City, UT 84112-1106

Mailing Address3538 Kepuhi StHonolulu, HI 96815-4366 · (804) 543-8999

Phone(801) 646-9236

Sole ProprietorNo

Enumeration DateApril 14, 2022

Last NPPES UpdateMay 3, 20242 updates tracked since enumeration

NPPES CertifiedMay 3, 2024

✔ NPI 1346983673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

555 FOOTHILL DR, Salt Lake City, UT 84112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rosa Waters has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2024 through December 13, 2026.

Opt-Out Effective DateDecember 13, 2024

Opt-Out In Effect ThroughDecember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

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