Individual provider Active NPI

David W Weathersby, LCSW

  • Social Worker
  • Louisville, KY
National Provider Identifier
1396855730
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1326 Issued in KY
Practice address
914 E Broadway
1St Floor
Louisville, KY 40204-1037
Phone
(502) 589-8600
Fax
(502) 589-8771
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1326 KY Primary

Addresses

Primary practice location

914 E Broadway
1St Floor
Louisville, KY 40204-1037

Mailing address

1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Phone (407) 347-4536

Other practice location 1

1507 Spring St
Jeffersonville, IN 47130-2939
Phone (407) 347-4536

Other practice location 2

1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Phone (407) 347-4536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260228000164 IN Practitioner - Clinical Social Worker 0648752550 Reassigns benefits to 1 organization
I20260304000952 KY Practitioner - Clinical Social Worker 0648752550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 W Canton Ave
Suite 600
Winter Park, FL 32789-3181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1326KYMDSocial Worker
30311DCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Substance Abuse Solutions LLC CurrentSince Apr 1, 2026 Accepting new patients
Seven Counties Services, Inc. Social Worker Past Accepting new patients

Locations

1507 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-0413

1143 Fairway St
Ste 103
Bowling Green, KY 42103
Phone (812) 901-6881

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1396855730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 FAIRWAY ST STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032452",
            "telephone_number": "407-347-4536",
            "fax_number": "812-285-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 E BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041037",
            "telephone_number": "502-589-8600",
            "fax_number": "502-589-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Spring St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471302939",
            "country_code": "US",
            "telephone_number": "407-347-4536",
            "fax_number": "812-285-8392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1143 Fairway St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421032452",
            "country_code": "US",
            "telephone_number": "407-347-4536",
            "fax_number": "812-285-8392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERSBY",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.