Individual provider Active NPI

Rachel Weaver, LISW-S, LICDC-CS

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1598893281
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1000186-SUPV Issued in OH
Practice address
5204 Honeytree Loop W
Columbus, OH 43229-4631
Phone
(614) 664-7970
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ICDC.131245-CS OH
Clinical Social Worker 1041C0700X I.1000186-SUPV OH Primary

Addresses

Primary practice location

5204 Honeytree Loop W
Columbus, OH 43229-4631

Mailing address

5204 Honeytree Loop W
Columbus, OH 43229-4631
Phone (614) 664-7970

Other practice location 1

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

Other practice location 2

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ICDC.131245-CSOHMDAddiction (Substance Use Disorder) Counselor
I.1000186-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Health & Healing Clinical PastSince Dec 15, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598893281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 HONEYTREE LOOP W",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294631",
            "telephone_number": "614-664-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 HONEYTREE LOOP W",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294631",
            "telephone_number": "614-664-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Youngstown Poland Rd",
            "address_purpose": "LOCATION",
            "city": "Struthers",
            "state": "OH",
            "postal_code": "444711103",
            "country_code": "US",
            "telephone_number": "330-318-3078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Youngstown Poland Rd",
            "address_purpose": "LOCATION",
            "city": "Struthers",
            "state": "OH",
            "postal_code": "444711103",
            "country_code": "US",
            "telephone_number": "330-318-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "RACHEL",
        "credential": "LISW-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.131245-CS",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000186-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.