Organization Active NPI

Scurvy Elephant Therapy Services, LLC

  • Social Worker
  • Oil City, PA
National Provider Identifier
1073330270
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SCURVY ELEPHANT THERAPY SERVICES, LLC
Practice address
206 Seneca St Ste 31a
Oil City, PA 16301-1333
Phone
(814) 346-1313
Fax
(814) 346-1800
NPI assigned
Sep 20, 2024
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Nerissa Weaver, LCSWNPI 1487290482
Title
Owner/Therapist
Phone
(814) 346-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

206 Seneca St Ste 31a
Oil City, PA 16301-1333

Mailing address

206 Seneca St Ste 31a
Oil City, PA 16301-1333
Phone (814) 346-1313

Other identifiers 1

IdentifierTypeStateIssuer
103774626MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260401000968 PA Part B Supplier - Clinic/Group Practice 3870078462 Receives reassigned benefits from 1 practitioner
Practice locations: Oil City, PA

National Provider Directory

National Provider Directory

Locations

206 Seneca St
Ste 31A
Oil City, PA 16301
Phone (814) 346-1313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1073330270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SENECA ST STE 31A",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163011333",
            "telephone_number": "814-346-1313",
            "fax_number": "814-346-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SENECA ST STE 31A",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163011333",
            "telephone_number": "814-346-1313",
            "fax_number": "814-346-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCURVY ELEPHANT THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "NERISSA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "814-346-1313",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103774626",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oil City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.