Jessica Lynn Weeden, LCSW
Individual provider Active NPI Clinical Social Worker · Sidney, NY
NPI 1194441014 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1194441014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 093514-01 (NY)
- Practice address
- 45 Willow St
Sidney, NY 13838-1219 - Phone
- (607) 435-6073
- NPI assigned
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093514-01 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 093514-01 | NY | Yes |
Addresses
Primary practice location
45 Willow St
Sidney, NY 13838-1219
Mailing address
45 Willow St
Sidney, NY 13838-1219
Phone (607) 435-6073
Other providers in Sidney, NY
- Dawn Thayer
- Tri Town Regional Healthcare
- Valley Veterinary Associates
- David Elwin Vanvalkenburg
- Walgreen Co
- Danielle Katherine Winner
- Renjbar Zebari
All providers in Sidney, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.