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JENNIFER WATERMAN LCPC
NPI 1992833669
Social Worker - Clinical in Portland, ME

Active since March 02, 2007
96 INDIA ST, PORTLAND, ME 04101(207) 772-2202 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Waterman Lcpc NPPES

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

JENNIFER WATERMAN LCPC (NPI 1992833669) is an individual clinical provider in Portland, Maine, licensed in Maine (CC2553) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1992833669
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER WATERMANCredential: LCPC
Location Address96 INDIA STPortland, ME 04101-4230
Mailing Address96 India StPortland, ME 04101-4230 · (207) 772-2202
Phone(207) 772-2202
Sole ProprietorYes
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 5, 2016
✔ NPI 1992833669 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 ME · CC2553
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.
96 INDIA ST, Portland, ME 04101
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Other Identifiers 1

Medicaid417990099ME

Other Providers at the Same Location NPPES 2

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

ALYSSA J HART
Counselor (Professional)
96 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 939-3219
GARRY G BRACKEN D.C.
Chiropractor
96 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-6782

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 1992833669. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Jennifer Waterman located?

Jennifer Waterman practices at 96 India St, Portland, ME 04101. The listed phone number is (207) 772-2202.

What is Jennifer Waterman's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Waterman was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.