Myra N Waters, is a
Social Worker - Clinical based in Los Angeles, California. Myra N Waters is licensed to practice in California (license number ACSW112115) and her current practice location is
3850 Crenshaw Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 751-3026.
NPI number for Myra N Waters is 1124774807 and her current mailing address is 3850 Crenshaw Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124774807.
Healthcare Provider's Profile
Full Name | Myra N Waters |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3850 Crenshaw Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124774807
- Provider Enumeration Date: 02/22/2022
- Last Update Date: 08/04/2023
Medical Identifiers
Medical identifiers for Myra N Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124774807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 112115 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | ACSW112115 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Myra N Waters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Myra N Waters, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 751-3026 | Myra N Waters, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 751-3026 |
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