SHANNON WATTERS LCSW
NPI 1790647485
Social Worker - Clinical in Mesa, AZ

Active since December 01, 2025
1930 S ALMA SCHOOL RD STE A206, MESA, AZ 85210(480) 779-9050 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2026, Dec 1, 2025 (2 updates tracked since 2025).

About Shannon Watters Lcsw NPPES

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

SHANNON WATTERS LCSW (NPI 1790647485) is an individual clinical provider in Mesa, Arizona, licensed in Arizona (LCSW-23636) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1790647485
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON WATTERSCredential: LCSW
Location Address1930 S ALMA SCHOOL RD STE A206Mesa, AZ 85210-3066
Mailing Address1930 S Alma School Rd Ste A206Mesa, AZ 85210-3066 · (480) 779-9050 · Fax (480) 717-4025
Sole ProprietorNo
Enumeration DateDecember 1, 2025
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
NPI 1790647485 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 AZ · LCSW-23636
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.

1930 S ALMA SCHOOL RD STE A206, Mesa, AZ 85210

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
1930 S ALMA SCHOOL RD STE A206
MESA, AZ 85210
Counselor (Professional)
1930 S ALMA SCHOOL RD STE A206
MESA, AZ 85210
Nurse Practitioner (Psychiatric/Mental Health)
1930 S ALMA SCHOOL RD STE A206
MESA, AZ 85210
Clinic/Center (Mental Health (Including Community Mental Health Center))
1930 S ALMA SCHOOL RD STE A206
MESA, AZ 85210
Nurse Practitioner (Psychiatric/Mental Health)
1930 S ALMA SCHOOL RD STE A206
MESA, AZ 85210
Social Worker (Clinical)
1930 S ALMA SCHOOL RD STE A206
MESA, AZ 85210
Nurse Practitioner (Psychiatric/Mental Health)
1930 S ALMA SCHOOL RD STE A206
MESA, AZ 85210

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 Shannon Watters's NPI number?

The NPI number for Shannon Watters is 1790647485. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Shannon Watters located?

Shannon Watters practices at 1930 S Alma School Rd Ste A206, Mesa, AZ 85210. The listed phone number is (480) 779-9050.

What is Shannon Watters'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 Shannon Watters was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.