Individual provider Active NPI

Christopher Weed, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1346418340
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011417 Issued in VA
Practice address
2900 E Brigstock Rd
Midlothian, VA 23113-3929
Phone
(860) 410-6002
NPI assigned
Feb 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 007243 CT
Clinical Social Worker 1041C0700X 0904011417 VA Primary

Addresses

Primary practice location

2900 E Brigstock Rd
Midlothian, VA 23113-3929

Mailing address

2900 E Brigstock Rd
Midlothian, VA 23113-3929
Phone (843) 860-4606

Other identifiers 1

IdentifierTypeStateIssuer
1346418340OtherCTSOLE PROPRIETER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007243CTMDProfessional Counselor
0904011417VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Azur Psychotherapy, PLLC Clinical CurrentSince Jul 3, 2022 Accepting new patients

Locations

14241 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 338-9144

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1346418340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E BRIGSTOCK RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133929",
            "telephone_number": "843-860-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E BRIGSTOCK RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133929",
            "telephone_number": "860-410-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEED",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007243",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETER",
            "identifier": "1346418340",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.