Samantha Weaver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11703-C Issued in NV

Practice address

8379 W Sunset Rd Ste 140
Las Vegas, NV 89113-2248

Phone

(979) 324-7388

NPI assigned

Oct 17, 2020

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Future Foundations Services LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1285979658
  Medicare reassignment NPD
• Clinical Solutions, LLC

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1003944976
  NPD (past)

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1316546765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 WELLS CATHEDRAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307036",
            "telephone_number": "979-324-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8379 W SUNSET RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132248",
            "telephone_number": "979-324-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11703-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Weaver
• Merrirose Weaver
• Michelle Leigh Weaver, LMSW, CSW INTERN
• Nathan C Weaver
• Nina Weaver
• Sean C. Weaver, D.O., M.P.H.
• Yvonne Weaver
• Victoria Webb-Padilla
• Anna Webb
• Benisha Webb

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.