DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSE WATERMAN LMSW

MEDICARE: JESSE WATERMAN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social Worker24653MD
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1124585211
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSE WATERMAN LMSW
Provider Business Mailing Address
First Line : 5613 WINTHROPE AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21214-2754
Country : US
Telephone Number : 443-707-5558
Fax Number :
Provider Business Practice Location Address
First Line : 1011 N CHARLES ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21201-5424
Country : US
Telephone Number : 443-971-1451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 04/25/2021

Similar Medicare Providers

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:
7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301
Practice Phone: 410-786-6614
Practice Fax:
1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:
7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849
Practice Phone: 410-786-6852
Practice Fax:
1134335441 — JULIE DAWN PREIS
Practice Location Address:
7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244
Practice Phone: 410-786-0525
Practice Fax:
1649784893 — JEANNETTE LATOYA MURDAUGH LGSW
Practice Location Address:
1011 N CHARLES ST
BALTIMORE, MD
21201-5424
Practice Phone: 443-436-2915
Practice Fax:
1235643081 — IMECKA JONES
Practice Location Address:
1011 N CHARLES ST
BALTIMORE, MD
21201-5424
Practice Phone: 347-403-1951
Practice Fax:
1366095010 — MS. KEYYA SIMONS LMSW
Practice Location Address:
1011 N CHARLES ST
BALTIMORE, MD
21201-5424
Practice Phone: 240-304-3327
Practice Fax:

Directions to “ JESSE WATERMAN LMSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.