Provider Demographics
NPI:1487937660
Name:WATERS, ELISABETH MARIA (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:MARIA
Last Name:WATERS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 TRUE LN # 801
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-7159
Mailing Address - Country:US
Mailing Address - Phone:336-471-7751
Mailing Address - Fax:
Practice Address - Street 1:1022 TRUE LN # 801
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-7159
Practice Address - Country:US
Practice Address - Phone:336-471-7751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0082271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical