Carleigh Davis Weaver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011112 Issued in VA

Practice address

219 S East St
Raleigh, NC 27601-2369

Phone

(984) 788-6570

NPI assigned

Jun 19, 2019

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carleighdavisweaver@tdh.allscriptsdirect.net

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.

• Tides of Change Therapy Services PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1417520891
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Chesterfield County Mental Health

  • Community/Behavioral Health Agency
  • Chesterfield, VA
  • NPI 1538605613
  NPD (past)
• Chesterfield County Mental Health

  • Nursing Care Agency
  • Chesterfield, VA
  • NPI 1609253897
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1649830860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 JESSICA BLVD UNIT 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074266",
            "telephone_number": "984-788-6570",
            "fax_number": "844-861-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S EAST ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276012369",
            "telephone_number": "984-788-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5420 Jessica Blvd Unit 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276074266",
            "country_code": "US",
            "telephone_number": "984-788-6570",
            "fax_number": "844-861-1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CARLEIGH",
        "middle_name": "DAVIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336293000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Campbell Weathers
• Julie Glyn Weathers, FNP-BC
• Latima M Weathersbe
• Allison K Weaver, MSW, LCSW
• Alyssa Mary Weaver, LMFTA
• Debra Sue Weaver, NURSE PRACTITIONER
• Elizabeth R Weaver
• Erica Weaver, HAIR LOSS SPECIALIST
• John Weaver, MS, LCMHCA
• Kelaysia Weaver, PHARMD,RPH

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.