Individual provider Active NPI

Stephany Marie Weaver, LCSW

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1437173788
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 8645 Issued in FL
Practice address
1444 Jasmine Way
Clearwater, FL 33756-6100
Phone
(727) 244-1379
NPI assigned
Jul 27, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005061A IN
Clinical Social Worker 1041C0700X SW 8645 FL Primary

Addresses

Primary practice location

1444 Jasmine Way
Clearwater, FL 33756-6100

Mailing address

1444 Jasmine Way
Clearwater, FL 33756-6100
Phone (727) 244-1379

Other names 1

  • Stephany Marie Coomer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000013 FL Practitioner - Clinical Social Worker 8224124508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna L. Donati, Psy.D., P.a.Group PAC ID 4688953300, 2 clinicians

Practice addresses (Care Compare)

2533 Permit PL
New Port Richey, FL 34655-4519
Phone (727) 421-5329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 8645FLMDClinical Social Worker
34005061AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Donna L Donati PSYD PA CurrentSince May 1, 2025 Accepting new patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients
Stephany Weaver Inc Clinical PastSince Aug 15, 2014 Accepting new patients

Locations

2533 Permit Pl
Trinity, FL 34655
Phone (727) 421-5329

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1437173788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 JASMINE WAY",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337566100",
            "telephone_number": "727-244-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 JASMINE WAY",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337566100",
            "telephone_number": "727-244-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "STEPHANY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005061A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANY",
            "last_name": "COOMER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.