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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE WATERS
NPI 1669303293
Social Worker - Clinical in Chicago, IL

Active since May 25, 2026
3933 W 105TH ST, CHICAGO, IL 60655(708) 476-0377 Get Directions Write a Review

NPPES record added: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Waters NPPES

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

NICOLE WATERS (NPI 1669303293) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.041169) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1669303293
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE WATERS
Location Address3933 W 105TH STChicago, IL 60655-3707
Mailing Address3933 W 105th StChicago, IL 60655-3707 · (708) 476-0377
Phone(708) 476-0377
Sole ProprietorYes
Enumeration DateMay 25, 2026
NPPES CertifiedMay 24, 2026
✔ NPI 1669303293 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 IL · 149.041169
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.
3933 W 105TH ST, Chicago, IL 60655
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Nicole Waters's NPI number?

The NPI number for Nicole Waters is 1669303293. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Nicole Waters located?

Nicole Waters practices at 3933 W 105th St, Chicago, IL 60655. The listed phone number is (708) 476-0377.

What is Nicole 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 Nicole Waters was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.