Individual provider Active NPI

Catherine S. Weber, LCSWC

  • Clinical Social Worker
  • Odenton, MD
National Provider Identifier
1063413888
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01725 Issued in MD
Practice address
1223 Annapolis Rd
Ste a
Odenton, MD 21113-1328
Phone
(410) 672-3921
Fax
(410) 672-3921
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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 01725 MD Primary

Addresses

Primary practice location

1223 Annapolis Rd
Ste a
Odenton, MD 21113-1328

Mailing address

1223 Annapolis Rd
Ste a
Odenton, MD 21113-1328
Phone (410) 672-3921

Other identifiers 8

IdentifierTypeStateIssuer
295878OtherMDMAMSI
S071-0001OtherMDCAREFIRST BCBS, NCA
778611500MedicaidMD
0004604897OtherMDAETNA
100025844001OtherMDAMERICAN PSYCH SYSTEMS
Q420CSOtherMDCAREFIRST BCBS MD
048728000OtherMDMAGELLAN
096322OtherMDMHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01725MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1063413888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 ANNAPOLIS RD",
            "address_2": "STE A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131328",
            "telephone_number": "410-672-3921",
            "fax_number": "410-672-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 ANNAPOLIS RD",
            "address_2": "STE A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131328",
            "telephone_number": "410-672-3921",
            "fax_number": "410-672-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "CATHERINE",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "01725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "295878",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS, NCA",
            "identifier": "S071-0001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778611500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004604897",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PSYCH SYSTEMS",
            "identifier": "100025844001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MD",
            "identifier": "Q420CS",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "048728000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "096322",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.