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GARY WATERS LCSW, LMFT, LADC
NPI 1548519291
Social Worker - Clinical in Friday Harbor, WA

Active since September 07, 2012
815 EUREKA DR, FRIDAY HARBOR, WA 98250(360) 317-4066 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2020, Feb 18, 2020 (2 updates tracked since 2020).

About Gary Waters Lcsw, Lmft, Ladc NPPES

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

GARY WATERS LCSW, LMFT, LADC (NPI 1548519291) is an individual clinical provider in Friday Harbor, Washington, licensed in Washington (LW60737867) and active in the NPI registry since September 2012. He maintains a secondary practice location in Friday Harbor.

NPPES Registry Identity

NPI1548519291
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGARY WATERSCredential: LCSW, LMFT, LADC
Location Address815 EUREKA DRFriday Harbor, WA 98250-6910
Mailing Address815 Eureka DrFriday Harbor, WA 98250-6910 · (360) 317-4066
Phone(360) 317-4066
Sole ProprietorYes
Enumeration DateSeptember 7, 2012
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1548519291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW60737867✔ Licensed in NV · 000357-C
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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 426-LC (NV)
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 22343 (NV)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 22343 (NV)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 22343 (NV)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 13653 (CA), 0127 (NV)
815 EUREKA DR, Friday Harbor, WA 98250
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Secondary Practice Location 1

Location 11117 Spring StFriday Harbor, WA 98250-9782 · Phone (360) 378-2141 · Fax (360) 378-1785

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 Gary Waters's NPI number?

The NPI number for Gary Waters is 1548519291. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Where is Gary Waters located?

Gary Waters practices at 815 Eureka Dr, Friday Harbor, WA 98250. The listed phone number is (360) 317-4066.

What is Gary 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 Gary Waters was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.