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K. Melissa Waterman, LCSW-R

Social Worker, Clinical in New Paltz, NY. Individual provider (NPI-1).

NPI number1104842715
StatusActive
Last updated in NPPESFeb 2, 2026

Details

NPI
1104842715
Entity type
Individual (NPI-1)
Name
K. Melissa Waterman
Credential
LCSW-R
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 15, 2006
Certification date
Feb 2, 2026
Last updated
Feb 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalR056648-1NYYes

Practice location

136 N Chestnut St Apt 9c
New Paltz, NY 12561-1021

Phone 845-464-8910

Mailing address

136 N Chestnut St Apt 9c
New Paltz, NY 12561-1021

Phone 845-464-8910

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