Stephen Francis Weaver, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851110799 Issued in MI

Practice address

1907 Banbury Rd
Kalamazoo, MI 49001-5200

Phone

(517) 881-3986

NPI assigned

Oct 5, 2020

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kathy Piecuch Counseling Services

  dba Brain Body Therapy Group

  • Mental Health Counselor
  • Kalamazoo, MI
  • NPI 1659737666
  Medicare reassignment NPD
• Mindful Pathways

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1639944036
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1679170443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 BANBURY RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015200",
            "telephone_number": "517-881-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BANBURY RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015200",
            "telephone_number": "517-881-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "STEPHEN",
        "middle_name": "FRANCIS",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryann Weatherly
• Stephanie Inez Weatherspoon, BD,PD, LCCE
• Mark Weatherwax, MS
• Addie Frances Weaver
• Kibwe Akin Weaver, M.D.
• Susan Lyn Weaver, LCSW, ACSW
• Alayna Webb, OTR/L
• Daren T. Webb, PT
• Rex Webb II, D.P.T.
• Thomas Jeffery Webb II, N.P.

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.