Individual provider Active NPI

Nanwher Weahmar Gweama

  • Social Worker
  • Stafford, VA
National Provider Identifier
1194453381
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0903003291 Issued in VA
Practice address
80 Rock Raymond Dr
Stafford, VA 22554-3368
Phone
(240) 386-9324
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0903003291 VA Primary

Addresses

Primary practice location

80 Rock Raymond Dr
Stafford, VA 22554-3368

Mailing address

80 Rock Raymond Dr
Stafford, VA 22554-3368
Phone (240) 386-9324

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
0903003291VAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1194453381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROCK RAYMOND DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543368",
            "telephone_number": "240-386-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROCK RAYMOND DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543368",
            "telephone_number": "240-386-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWEAMA",
        "first_name": "NANWHER",
        "middle_name": "WEAHMAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903003291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.