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TASHAUNA WATERS
NPI 1912580358
Social Worker - Clinical in Chicago, IL

Active since May 04, 2021PECOS Enrolled
5035 S EAST END AVE APT 807N, CHICAGO, IL 60615(773) 524-0042 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tashauna Waters NPPES

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

TASHAUNA WATERS (NPI 1912580358) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149022948) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1912580358
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTASHAUNA WATERS
Location Address5035 S EAST END AVE APT 807NChicago, IL 60615-0105
Mailing Address5035 S East End Ave Apt 807nChicago, IL 60615-0105 · (773) 524-0042
Phone(773) 524-0042
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 4, 2021
NPPES CertifiedMay 4, 2021
✔ NPI 1912580358 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 · 149022948
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.
5035 S EAST END AVE APT 807N, Chicago, IL 60615
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tashauna Waters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153793666
PECOS Enrollment IDI20230209002748
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tashauna Waters's NPI number?

The NPI number for Tashauna Waters is 1912580358. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Tashauna Waters located?

Tashauna Waters practices at 5035 S East End Ave Apt 807N, Chicago, IL 60615. The listed phone number is (773) 524-0042.

What is Tashauna Waters's specialty?

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

Is Tashauna Waters enrolled in Medicare?

Yes. Tashauna Waters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tashauna Waters was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.