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

Tashauna Waters

Individual provider Clinical Social Worker · NPI 1912580358

Tashauna Waters is a Clinical Social Worker in Chicago, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

5035 S East End Ave Apt 807N
Chicago, IL 60615-0105
Phone: (773) 524-0042
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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 149022948 (IL)

Record details

NPI number1912580358
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2021
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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