Individual provider Active NPI

Louis R Weigele, L.I.S.W., B.C.D.

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1215006473
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-2818 Issued in OH
Practice address
20525 Center Ridge Rd Ste 303
Rocky River, OH 44116-3424
Phone
(216) 228-3500
Fax
(216) 228-5818
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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 I-2818 OH Primary

Addresses

Primary practice location

20525 Center Ridge Rd Ste 303
Rocky River, OH 44116-3424

Mailing address

20525 Center Ridge Rd Ste 303
Rocky River, OH 44116-3424
Phone (216) 228-3500

Other practice location 1

13425 Detroit Ave
Suite 2
Lakewood, OH 44107-4608
Phone (216) 228-3500

Other identifiers 3

IdentifierTypeStateIssuer
236744-000OtherOHMAGELLAN
1164592OtherOHCAQH
0211901MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120711000466 OH Practitioner - Clinical Social Worker 8123283462 Practice locations: Rocky River, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20525 Ctr Ridge Rd
Rocky River, OH 44116-3424
Phone (216) 228-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-2818OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1215006473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 303",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163424",
            "telephone_number": "216-228-3500",
            "fax_number": "216-228-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 303",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163424",
            "telephone_number": "216-228-3500",
            "fax_number": "216-228-5818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13425 Detroit Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441074608",
            "country_code": "US",
            "telephone_number": "216-228-3500",
            "fax_number": "216-228-5818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIGELE",
        "first_name": "LOUIS",
        "middle_name": "R",
        "credential": "L.I.S.W., B.C.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-2818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "236744-000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1164592",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211901",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.