Alice G Weaver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075912 Issued in NY

Practice address

165 W 91St St
6F
New York, NY 10024-1314

Phone

(212) 362-7365

NPI assigned

Jun 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1194951863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W 91ST ST",
            "address_2": "6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241314",
            "telephone_number": "212-362-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W 91ST ST",
            "address_2": "6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241314",
            "telephone_number": "212-362-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ALICE",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Wealcatch, LCSW
• Joshua Benjamin Weasen, MD
• Bojana Jankovic Weatherly, M.D., M.SC.
• Bianca Sami-Jo Weathers, PA-C
• Dawn Weathersby, RN
• Denise Noel Weaver, FNP-BC, MSN, RN
• Haleigh Shea Weaver
• Hana Weaver, PT, DPT
• Isabelle Weaver
• Joshua Jason Weaver, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.