Look up the most recent NPI and PECOS records

Amanda Waters

Social Worker

Behavioral Health & Social Service Providers

1616 Cornwall Ave Ste 205, Bellingham, WA 98225-4642

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Waters is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528436888
Provider Type
Individual
Full Name
Waters, Amanda
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/3/2015
Last Updated
7/5/2023

Contact Information

Practice Location

1616 Cornwall Ave Ste 205, Bellingham, WA 98225-4642

(360) 676-6177

(360) 671-3574

Mailing Location

1616 Cornwall Ave, Ste 205, Bellingham, WA 98225-4642

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LW61136957 Washington
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License LSW0009920979 Colorado
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License CSW.09925536 Colorado

Amanda Waters

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

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