Sara - Weatherley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

992804 Issued in CO

Practice address

400 E Simpson St
Suite 103
Lafayette, CO 80026-2394

Phone

(720) 562-0539

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1568502383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 MCKINLEY DR.",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803030000",
            "telephone_number": "720-562-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SIMPSON ST",
            "address_2": "SUITE 103",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262394",
            "telephone_number": "720-562-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLEY",
        "first_name": "SARA",
        "middle_name": "-",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Watson, CCN, RH(AHG)
• Virginia Watson
• Cody Wayne Watts
• Joyce Batson Watts, MA, LPC
• Sarah A Wear, DO
• Chloe Weber
• Daniel C Weber
• Kali Weber, M.A.
• Kathryn A Weber, PT
• Megan E Weber, M.D.

• Clinical Social Worker in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.