Theresa Latisha Waters
Theresa Latisha Waters is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
25 N Parkside AveChicago, IL 60644-3904
Phone: (773) 939-2484
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 150.112384 (IL) |
Record details
| NPI number | 1851074108 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 11, 2023 |
| Last updated in NPPES | December 10, 2025 |
| Certification date | December 10, 2025 |
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