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

Vivian E Watters

Individual provider Social Worker · NPI 1962164723

Vivian E Watters is a Clinical Social Worker in Mesa, Arizona. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

303 S Recker Rd Lot 47
Mesa, AZ 85206-6077
Phone: (480) 295-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LMSW6921T (AZ)

Record details

NPI number1962164723
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing address303 S Recker Rd Lot 47, Mesa, AZ 85206-6077

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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