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JENNIFER WATERMAN LCSW
NPI 1871906842
Social Worker - Clinical in La Grange, IL

Active since June 08, 2014Opted out of Medicare · through Feb 6, 2027
82 S LA GRANGE RD STE 210, LA GRANGE, IL 60525(708) 996-1294 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2022, May 10, 2017 (2 updates tracked since 2017).

About Jennifer Waterman Lcsw NPPES

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

JENNIFER WATERMAN LCSW (NPI 1871906842) is an individual clinical provider in La Grange, Illinois, licensed in Illinois (149014375) and active in the NPI registry since June 2014. She has opted out of Medicare through February 6, 2027.

NPPES Registry Identity

NPI1871906842
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER WATERMANCredential: LCSW
Location Address82 S LA GRANGE RD STE 210La Grange, IL 60525-6348
Mailing Address82 S La Grange Rd Ste 210La Grange, IL 60525-6348 · (708) 966-1294
Phone(708) 996-1294
Sole ProprietorNo
Enumeration DateJune 8, 2014
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1871906842 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 · 149014375
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.
82 S LA GRANGE RD STE 210, La Grange, IL 60525
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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

Jennifer Waterman Lcsw 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 February 6, 2023 through February 6, 2027.

Opt-Out Effective DateFebruary 6, 2023
Opt-Out In Effect ThroughFebruary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

BRIAN DRELICHARZ LCSW
Social Worker (Clinical)
82 S LA GRANGE RD STE 210
LA GRANGE, IL 60525
Cook County (708) 505-5480
MEREDITH BOLAN THERAPY, LLC
Social Worker (Clinical)
82 S LA GRANGE RD STE 210
LA GRANGE, IL 60525
Cook County (630) 446-0407
JR COUNSELING SERVICES INC
Clinic/Center (Adult Mental Health)
82 S LA GRANGE RD STE 210
LA GRANGE, IL 60525
Cook County (708) 996-1294
BRIAN DRELICHARZ, LCSW, LLC
Social Worker (Clinical)
82 S LA GRANGE RD STE 210
LA GRANGE, IL 60525
Cook County (708) 505-5480

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 Jennifer Waterman's NPI number?

The NPI number for Jennifer Waterman is 1871906842. It was assigned to this individual provider in the NPPES registry on June 8, 2014.

Where is Jennifer Waterman located?

Jennifer Waterman practices at 82 S La Grange Rd Ste 210, La Grange, IL 60525. The listed phone number is (708) 996-1294.

What is Jennifer Waterman's specialty?

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

Is Jennifer Waterman enrolled in Medicare?

No. Jennifer Waterman has opted out of Medicare through February 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Waterman was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.