Active NPI
John Weaver
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1386196111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSWS1281
- Practice address
- 8420 Longhorn St
Anchorage, AK 99507-6350 - Phone
- (907) 529-5990
- NPI assigned
- Oct 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSWS1281 | AK | Primary |
| Clinical Social Worker | 1041C0700X | LCSW-23391 | AZ | |
| Clinical Social Worker | 1041C0700X | LC25335 | ME |
Addresses
Primary practice location
8420 Longhorn St
Anchorage, AK 99507-6350
Mailing address
8420 Longhorn St
Anchorage, AK 99507-6350
Phone (907) 529-5990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSWS1281 | AK | MD | Clinical Social Worker |
| LC25335 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Foreman Counseling LLC | Past | Accepting new patients |
Interoperability endpoints
- john.weaver.1@30520.direct.athenahealth.com
- https://api.platform.athenahealth.com/8748/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Kodiak, AK
- NPI 1205592789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1386196111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 LONGHORN ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995076350",
"telephone_number": "907-529-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 LONGHORN ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995076350",
"telephone_number": "907-529-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-27",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "CSWS1281",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-23391",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC25335",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.