Individual provider Active NPI

Nancy Elaine Weingartner, LCSW

  • Clinical Social Worker
  • Valdosta, GA
National Provider Identifier
1144204678
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003685 Issued in GA
Practice address
2935 N Ashley St BLDG F
Valdosta, GA 31602-1777
Phone
(229) 333-2273
Fax
(229) 506-5403
NPI assigned
Nov 29, 2005
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003685 GA Primary
Clinical Social Worker 1041C0700X 149001280 IL
Clinical Social Worker 1041C0700X S22135 TX

Addresses

Primary practice location

2935 N Ashley St BLDG F
Valdosta, GA 31602-1777

Mailing address

3629 Arbor Run Dr
Valdosta, GA 31605-1021
Phone (229) 257-0486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20061206000026 GA Practitioner - Clinical Social Worker 7214936079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Mood Clinic S Ga LLCGroup PAC ID 0941472617, 4 clinicians

Practice addresses (Care Compare)

2935 N Ashley St
BLDG F
Valdosta, GA 31602-1777
Phone (229) 333-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149001280ILMDClinical Social Worker
S22135TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Better Mood Clinic S Ga LLC Clinical CurrentSince Aug 29, 2011 Accepting new patients
Better Mood Clinic Clinical PastSince May 19, 2024 Accepting new patients

Locations

2935 N Ashley St
#F
Valdosta, GA 31602
Phone (229) 333-2273

2935 N Ashley St
Bldg F
Valdosta, GA 31602
Phone (229) 333-2273

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bettermoodclinic/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1144204678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 ARBOR RUN DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051021",
            "telephone_number": "229-257-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST BLDG F",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021777",
            "telephone_number": "229-333-2273",
            "fax_number": "229-506-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARTNER",
        "first_name": "NANCY",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003685",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001280",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S22135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.