Individual provider Active NPI

Nichole Weiler, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1083853519
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007032 Issued in VA
Practice address
250 W Brambleton Ave Ste 101
Norfolk, VA 23510-1505
Phone
(757) 450-7660
Fax
(757) 500-7866
NPI assigned
Feb 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 0904007032 VA Primary

Addresses

Primary practice location

250 W Brambleton Ave Ste 101
Norfolk, VA 23510-1505

Mailing address

250 W Brambleton Ave Ste 101
Norfolk, VA 23510-1505
Phone (757) 450-7660

Other practice location 1

5215 Colley Ave
# 125
Norfolk, VA 23508-2043
Phone (757) 233-6772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100823000334 VA Practitioner - Clinical Social Worker 6507990843 Practice locations: Norfolk, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 W Brambleton Ave
Suite 101
Norfolk, VA 23510-1505
Phone (757) 450-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007032VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeforce Counseling and Consulting, LLC PastSince Jun 24, 2019 Accepting new patients
Christian Psychotherapy Services PastSince Jun 1, 1999 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1083853519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BRAMBLETON AVE STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101505",
            "telephone_number": "757-450-7660",
            "fax_number": "757-500-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BRAMBLETON AVE STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101505",
            "telephone_number": "757-450-7660",
            "fax_number": "757-500-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 COLLEY AVE",
            "address_2": "# 125",
            "address_purpose": "LOCATION",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082043",
            "country_code": "US",
            "telephone_number": "757-233-6772",
            "fax_number": "757-233-7267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILER",
        "first_name": "NICHOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.