Rachel Weber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7128-C Issued in AR

Practice address

91 W Colt Square Dr Ste 4
Fayetteville, AR 72703-2846

Phone

(479) 287-1533

Fax

(479) 282-2971

NPI assigned

Feb 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1407248933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 W COLT SQUARE DR STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032846",
            "telephone_number": "479-287-1533",
            "fax_number": "479-282-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 W COLT SQUARE DR STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032846",
            "telephone_number": "479-287-1533",
            "fax_number": "479-282-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7128-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7128-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Weatherly, MD
• Georgiann Weaver, CNM
• Mark Weaver
• Amanda Webb, PTA
• Nancy Lou Webb, LCSW
• Al Elliot Webster
• Carlie Webster
• Roma Gail Webster, APRN
• Wedington Court Dental Associates
• Wedington Dental, PLLC

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.