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

Philip Waitzman, LCSW

Individual provider Clinical Social Worker · NPI 1003657941

Philip Waitzman, LCSW is a Clinical Social Worker in Saint Joseph, Michigan. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2008, 18 years ago. Practices with Psychiatric Specialties, PLC, a 9-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
18
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL, MI
In the registry since
2024
Specialties on file
2
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

415 Main St Ste A
Saint Joseph, MI 49085-3100
Phone: (269) 408-1688
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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 149.025061 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801118316 (MI)

Record details

NPI number1003657941
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address415 Main St Ste A, Saint Joseph, MI 49085-3100

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2008 (18 years in practice)
Group practice Psychiatric Specialties, Plc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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