Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coral Marie Waters, ASW

Individual provider Clinical Social Worker · NPI 1366790453

Coral Marie Waters, ASW is a Clinical Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1501 Imperial Ave
San Diego, CA 92101-7638
Phone: (619) 233-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28498 (CA)

Record details

NPI number1366790453
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorNo
NPI enumeratedAugust 21, 2012
Last updated in NPPESAugust 21, 2012

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