Active NPI
Joseph M. Weber, LCSW-R
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1467484584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R070468-1
- Practice address
- 130 Allens Creek Rd
Suite 100
Rochester, NY 14618-3305 - Phone
- (585) 271-5610
- Fax
- (585) 271-1129
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R070468-1 | NY | Primary |
Addresses
Primary practice location
130 Allens Creek Rd
Suite 100
Rochester, NY 14618-3305
Mailing address
1020 Penfield Rd
Rochester, NY 14625-2144
Phone (585) 389-3073
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11545542 | Other | CAQH IDENTIFIER | |
| 179886FK | Other | NY | PREFERRED CARE, ROCHESTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060301000071 | NY | Practitioner - Clinical Social Worker | 2567478571 | Practice locations: Rochester, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1514 E Ave
Rochester, NY 14610-1620
Phone (585) 271-5610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R070468-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Psychological Services, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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 Clinic/Center (Including Community Mental Health Center)
- Rochester, NY
- NPI 1558900019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467484584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 PENFIELD RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252144",
"telephone_number": "585-389-3073",
"fax_number": "585-271-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ALLENS CREEK RD",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183305",
"telephone_number": "585-271-5610",
"fax_number": "585-271-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "JOSEPH",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R070468-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH IDENTIFIER",
"identifier": "11545542",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE, ROCHESTER",
"identifier": "179886FK",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.