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

Individual provider Clinical Social Worker · NPI 1902355159

Jessica Waterman, LCSW is a Clinical Social Worker in Latham, New York. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4 Avis Dr Ste 101
Latham, NY 12110-2650
Phone: (518) 560-4277
Fax: (518) 662-4277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1721 Central Ave, Colonie, NY 12205-4799 — (518) 903-9671

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 090268

Record details

NPI number1902355159
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 29, 2016
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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