Laurel N. Weaver, MSW , LISW-S

Individual provider Active NPI Clinical Social Worker · Bluffton, OH

NPI 1033495239 · NPPES record last updated Feb 27, 2023

Key facts

NPI
1033495239
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
105 Vine St
Bluffton, OH 45817-1251
Phone
(419) 296-8591
Fax
(419) 932-6740
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Vine St
Bluffton, OH 45817-1251
Phone (419) 296-8591

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120104000615 OH Practitioner - Clinical Social Worker 2365618824 Practice locations: Bluffton, OH

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel N. Weaver Clinical Current
since Jul 1, 2013
Accepting new patients

Locations

105 Vine St
Bluffton, OH 45817
Phone (419) 296-8591

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

105 Vine St
Bluffton, OH 45817-1251

Mailing address

145 N. Spring Street
Bluffton, OH 45817
Phone (419) 296-8591

Other providers in Bluffton, OH

All providers in Bluffton, OH · Clinical Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.