Active NPI
Taylor Weidle
- Social Worker
- Lebanon, OH
National Provider Identifier
1649642935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S 1500751
- Practice address
- 759 Columbus Ave
Lebanon, OH 45036-1754 - Phone
- (513) 932-4337
- NPI assigned
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S 1500751 | OH | Primary |
Addresses
Primary practice location
759 Columbus Ave
Lebanon, OH 45036-1754
Mailing address
42 Pennslyvania Ave
Germantown, OH 45327
Phone (937) 903-9717
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S 1500751 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1649642935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 PENNSLYVANIA AVE",
"city": "GERMANTOWN",
"state": "OH",
"postal_code": "45327",
"telephone_number": "937-903-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 COLUMBUS AVE",
"city": "LEBANON",
"state": "OH",
"postal_code": "450361754",
"telephone_number": "513-932-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDLE",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S 1500751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.