Jaela Weaver

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P023380 Issued in NC

Practice address

1825 E Thelborn St
West Covina, CA 91791-1442

Phone

(626) 915-3844

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

Yes

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

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1639637226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 NEW GARDEN RD APT 3407",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274101752",
            "telephone_number": "626-861-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E THELBORN ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911442",
            "telephone_number": "626-915-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18709 E Arrow Hwy Apt 19",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917222059",
            "country_code": "US",
            "telephone_number": "626-861-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cerenity Z Watkins
• Allyson Way, PA-C
• Annie Elizabeth Wayne, PA-C
• Omar Waziri, PA-C
• Fernando Eduardo Weaver
• Jillian Weir
• Well Wise Hospice
• Cornell Wells Jr., M.D.
• Mark Wei Weng, D.O.
• Nicole Werdesheim, M.S. BCBA

• Clinical Social Worker in West Covina, CA
• Providers in West Covina, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.