Individual provider Active NPI

Barbara A Weaver, LCSW

  • Clinical Social Worker
  • Manila, AR
National Provider Identifier
1124074802
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1313-C Issued in AR
Practice address
920 Medical Dr
Manila, AR 72442-8416
Phone
(870) 570-0358
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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 1313-C AR Primary

Addresses

Primary practice location

920 Medical Dr
Manila, AR 72442-8416

Mailing address

PO Box 717
Manila, AR 72442-0717
Phone (870) 570-0358

Other identifiers 1

IdentifierTypeStateIssuer
5W322OtherARBLUECROSS BLIESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040618000081 AR Practitioner - Clinical Social Worker 6002890779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delta Behavioral Health, LLCGroup PAC ID 6406280007, 6 clinicians

Practice addresses (Care Compare)

920 E Medical Dr
Manila, AR 72442-8416
Phone (870) 570-0358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1313-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Behavioral Health, LLC CurrentSince Apr 1, 2022 Accepting new patients
Home Health Professionals, Inc. Past Accepting new patients
Home Health Professionals, Inc. Past Accepting new patients

Locations

920 Medical Dr
Manila, AR 72442
Phone (870) 570-0358

Organizations & group practices 3

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1124074802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724420717",
            "telephone_number": "870-570-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL DR",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724428416",
            "telephone_number": "870-570-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1313-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLIESHIELD",
            "identifier": "5W322",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manila, AR

Sources for this page

Verify at the official NPI Registry.