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VIVIAN E WATTERS
NPI 1962164723
Social Worker in Mesa, AZ

Active since October 08, 2021PECOS Enrolled
303 S RECKER RD LOT 47, MESA, AZ 85206(480) 295-5600 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vivian E Watters NPPES

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

VIVIAN E WATTERS (NPI 1962164723) is an individual social worker in Mesa, Arizona, licensed in Arizona (LMSW6921T) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1962164723
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameVIVIAN E WATTERS
Location Address303 S RECKER RD LOT 47Mesa, AZ 85206-6077
Mailing Address303 S Recker Rd Lot 47Mesa, AZ 85206-6077 · (480) 295-5600
Phone(480) 295-5600
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1962164723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in AZ · LMSW6921T
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
303 S RECKER RD LOT 47, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian E Watters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779062260
PECOS Enrollment IDI20260205000025
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.

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 Vivian Watters's NPI number?

The NPI number for Vivian Watters is 1962164723. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Where is Vivian Watters located?

Vivian Watters practices at 303 S Recker Rd Lot 47, Mesa, AZ 85206. The listed phone number is (480) 295-5600.

What is Vivian Watters's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Vivian Watters enrolled in Medicare?

Yes. Vivian Watters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivian Watters was last updated on October 8, 2021. 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.