Individual provider Active NPI

Jodi Lee Weber, LCSW

  • Clinical Social Worker
  • Avon Lake, OH
National Provider Identifier
1093694036
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507157 Issued in OH
Practice address
32730 Walker Rd Ste J2
Avon Lake, OH 44012-2235
Phone
(440) 990-8822
Fax
(513) 992-9101
NPI assigned
Sep 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 107658 TX
Clinical Social Worker 1041C0700X I.2507157 OH Primary

Addresses

Primary practice location

32730 Walker Rd Ste J2
Avon Lake, OH 44012-2235

Mailing address

248 Main St Apt 409
Westlake, OH 44145-8166
Phone (562) 242-6561

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2507157OHMDClinical Social Worker
107658TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aurelia Group, LLC Clinical CurrentSince Sep 8, 2025 Accepting new patients

Locations

32730 Walker Rd
Ste J2
Avon Lake, OH 44012
Phone (440) 202-6300

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.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1093694036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 MAIN ST APT 409",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458166",
            "telephone_number": "562-242-6561",
            "fax_number": "513-992-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32730 WALKER RD STE J2",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122235",
            "telephone_number": "440-990-8822",
            "fax_number": "513-992-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JODI",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.