Stefan Michael Weeks, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW7623 Issued in FL

Practice address

400 N State Road 19 Ste 48
Palatka, FL 32177-2449

Phone

(386) 329-8800

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1669502209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SLEDDING PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645590",
            "telephone_number": "386-793-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STATE ROAD 19 STE 48",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772449",
            "telephone_number": "386-329-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "STEFAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7623",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW7623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075795100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shonda Shanelle Waller, PHARM.D.
• Hannah Ward, PTA
• Nikiah Washington
• Rose Marie Watts, ARNP
• Julia Loftus Weber, ARNP RNCS MSN
• Wellness Society USA
• Ronald Michael Wendt, ARNP, FNP-BC
• Jennifer Wengler
• Alma Kay Whaley, L.M.H.C.
• Lori H White, LMT

• Mental Health Counselor in Palatka, FL
• Providers in Palatka, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.