Individual provider Active NPI

Susan Elizabeth Weimer, PH.D., LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1497916985
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 12509 Issued in AZ
Practice address
1342 E Allen Rd
Tucson, AZ 85719-1450
Phone
(520) 235-4275
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 12509 AZ Primary

Addresses

Primary practice location

1342 E Allen Rd
Tucson, AZ 85719-1450

Mailing address

1342 E Allen Rd
Tucson, AZ 85719-1450
Phone (520) 235-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230512000696 KS Practitioner - Clinical Social Worker 7517323785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind and Body Healing Collective LLC 10 clinicians

Practice addresses (Care Compare)

2619 W 6TH St
Suite C
Lawrence, KS 66049-4300
Phone (785) 615-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCSW 12509AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Body Healing Collective, LLC Clinical CurrentSince May 1, 2023 Accepting new patients

Locations

2512 W 6th St
Ste C
Lawrence, KS 66049
Phone (785) 615-1995

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.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1497916985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 E ALLEN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191450",
            "telephone_number": "520-235-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 E ALLEN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191450",
            "telephone_number": "520-235-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMER",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 12509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.