Active NPI
Shawna Lee Weaver, LCSW
- Clinical Social Worker
- Wynnewood, PA
National Provider Identifier
1386074789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017749
- Practice address
- 300 East Lancaster Avenue
Suite #200
Wynnewood, PA 19096 - Phone
- (610) 268-7055
- NPI assigned
- Nov 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017749 | PA | Primary |
Addresses
Primary practice location
300 East Lancaster Avenue
Suite #200
Wynnewood, PA 19096
Mailing address
335 Dreshertown Road
Fort Washington, PA 19034
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW017749 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1386074789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 DRESHERTOWN ROAD",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "19034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EAST LANCASTER AVENUE",
"address_2": "SUITE #200",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "19096",
"telephone_number": "610-268-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "SHAWNA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-21",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.