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

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

Practice location Address checks out

303 S Recker Rd Lot 47
Mesa, AZ 85206-6077
Phone: (480) 295-5600
Show map & directions

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

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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