NPIMap

Organization Active NPI

Weeden & Associates, LLC

  • Clinical Social Worker
  • Cedarburg, WI
National Provider Identifier
1225355902
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
432-123 Issued in WI
Legal business name
WEEDEN & ASSOCIATES, LLC
Practice address
W67N222 Evergreen Blvd Ste 111
Cedarburg, WI 53012-2650
Phone
(262) 375-9225
Fax
(262) 375-9005
NPI assigned
Apr 21, 2010
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Mr. Dennis Clark Weeden, MSSW, LCSW, CSATNPI 1972726370
Title
Co Owner
Phone
(262) 375-9225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 432-123 WI Primary

Addresses

Primary practice location

W67N222 Evergreen Blvd Ste 111
Cedarburg, WI 53012-2650

Mailing address

W67N222 Evergreen Blvd Ste 111
Cedarburg, WI 53012-2650
Phone (262) 375-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823000795 WI Part B Supplier - Clinic/Group Practice 9830369206 Receives reassigned benefits from 2 practitioners
Practice locations: Cedarburg, WI

National Provider Directory

National Provider Directory

Locations

W67N222 Evergreen Blvd
Cedarburg, WI 53012
Phone (262) 375-9225

W67N222 Evergreen Blvd
Ste 111
Cedarburg, WI 53012
Phone (262) 375-9222

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1225355902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W67N222 EVERGREEN BLVD STE 111",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122650",
            "telephone_number": "262-375-9225",
            "fax_number": "262-375-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W67N222 EVERGREEN BLVD STE 111",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122650",
            "telephone_number": "262-375-9225",
            "fax_number": "262-375-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEEDEN & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "WEEDEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "262-375-9225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSSW, LCSW, CSAT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "432-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.