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

Liana Kim Van de Water

Individual provider Counselor · NPI 1437710084

Liana Kim Van de Water is a Mental Health Counselor in Medford, Massachusetts. Qualified in 2018, 8 years ago. Practices with Lynn Community Health, Inc, a 96-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2019
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Practice location Address checks out

100 George P Hassett Dr
Medford, MA 02155-3258
Phone: (781) 393-4828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1437710084
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESJune 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lynn Community Health, Inc. — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medford