Individual provider Active NPI

Laurel N. Weaver, MSW , LISW-S

  • Clinical Social Worker
  • Bluffton, OH
National Provider Identifier
1033495239
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
105 Vine St
Bluffton, OH 45817-1251
Phone
(419) 296-8591
Fax
(419) 932-6740
NPI assigned
Nov 1, 2011
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

105 Vine St
Bluffton, OH 45817-1251

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

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

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1033495239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N. SPRING STREET",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "45817",
            "telephone_number": "419-296-8591",
            "fax_number": "419-932-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINE ST",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171251",
            "telephone_number": "419-296-8591",
            "fax_number": "419-932-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LAUREL",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "MSW , LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, OH

Sources for this page

Verify at the official NPI Registry.