Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA WATERMAN LCSW
NPI 1902355159
Social Worker - Clinical in Latham, NY

Q: What is Jessica Waterman's NPI number?

The NPI number for Jessica Waterman is 1902355159. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Q: What is Jessica Waterman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Waterman was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since September 29, 2016

4 AVIS DR STE 101, LATHAM, NY 12110(518) 560-4277(518) 662-4277 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2026, Sep 29, 2016 (2 updates tracked since 2016).

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About Jessica Waterman Lcsw NPPES

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

JESSICA WATERMAN LCSW (NPI 1902355159) is an individual clinical provider in Latham, New York, licensed in (090268) and active in the NPI registry since September 2016. She maintains a secondary practice location in Colonie.

NPPES Registry Identity

NPI1902355159

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA WATERMANCredential: LCSW

Location Address4 AVIS DR STE 101Latham, NY 12110-2650

Mailing Address1721 Central AveColonie, NY 12205-4799 · (518) 903-9671

Phone(518) 560-4277

Fax(518) 662-4277

Sole ProprietorNo

Enumeration DateSeptember 29, 2016

Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1902355159 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 · 090268

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.

4 AVIS DR STE 101, Latham, NY 12110

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Secondary Practice Location 1

Location 11721 Central AveColonie, NY 12205-4799 · Phone (518) 903-9671

Other Providers at the Same Location NPPES 20

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

NADIIA PAVLENKO

Counselor (Mental Health)