Jenna Darlene Weathers, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

106430 Issued in CA

Practice address

638 Arcadia Dr
Vacaville, CA 95687-3396

Phone

(707) 689-4293

NPI assigned

Dec 21, 2021

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

Other names 1

• Jenna Darlene Weathers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1619637477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 ARCADIA DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873396",
            "telephone_number": "707-689-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 ARCADIA DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873396",
            "telephone_number": "707-689-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "JENNA",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "106430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "WEATHERS",
            "middle_name": "DARLENE",
            "credential": "ACSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.