Andrew Weisskoff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20126 Issued in CA

Practice address

3554 Round Barn Blvd
Santa Rosa, CA 95403-0929

Phone

(707) 571-3813

Fax

(707) 571-3799

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316953193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 ROUND BARN BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030929",
            "telephone_number": "707-571-3813",
            "fax_number": "707-571-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 ROUND BARN BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030929",
            "telephone_number": "707-571-3813",
            "fax_number": "707-571-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSKOFF",
        "first_name": "ANDREW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "LCS20126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Rose Weir, R.D.
• Elina Weiss, C.R.N.A
• Jennifer Weiss, D.O.
• Sheldon Paul Weiss, MD
• Cynthia Lynn Weissbein Macken, PSYD
• Sayulita Storm Weisz
• Todd W. Weitzenberg, MD
• Ariel Welch
• Francis Welch
• Morgan Alexander Welch, D.O.

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.