NICOLE WAITES
NPI 1871245472
Social Worker - Clinical in Brookline, MA
- Individual
- Female
- Social Worker
- Clinical
- CLIA Number: 22D1019450
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-18-2025
About NICOLE WAITES
This page provides the complete NPI Profile along with additional information for Nicole Waites, a provider established in Brookline, Massachusetts with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1871245472 assigned on January 2022. The practitioner's primary taxonomy code is 1041C0700X with license number 226729 (MA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1871245472 Verify this NPI
- Provider Name
- NICOLE WAITES
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 99 POND AVE APT 507 BROOKLINE, MA 02445
- Location Phone
- (857) 225-8816
- Mailing Address
- 99 POND AVE APT 507 BROOKLINE, MA 02445
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-25-2022
- Last Update Date
- 08-30-2024
- Code Navigator
A clinical social worker like Nicole Waites is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 226729
- License State
- MA
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D1019450
- Facility Type
- Physician Office
- Certificate Effective Date
- November 19, 2023
- Certificate Expiration Date
- November 18, 2025
- Laboratory Director
- NICOLE H. BOUDREAU
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Nicole Waites in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for NICOLE WAITES
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871245472, enumerated as an "individual" on January 25, 2022.
The provider is located at 99 POND AVE APT 507 BROOKLINE, MA 02445 and the phone number is (857) 225-8816.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
