Kendra K. Weible, MSS, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW127922 Issued in PA

Practice address

600 Creekside Dr
Suite 601
Pottstown, PA 19464-9204

Phone

(610) 326-2728

Fax

(610) 326-2750

NPI assigned

Mar 8, 2012

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Innovative Counseling Associates PC

  • Mental Health Counselor
  • Pottstown, PA
  • NPI 1245267129

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1689948671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CREEKSIDE DR",
            "address_2": "SUITE 601",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649204",
            "telephone_number": "610-326-2728",
            "fax_number": "610-326-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CREEKSIDE DR",
            "address_2": "SUITE 601",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649204",
            "telephone_number": "610-326-2728",
            "fax_number": "610-326-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIBLE",
        "first_name": "KENDRA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "MSS, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP'S NPI #     (INNOVATIVE COUNSELING)",
            "identifier": "1245267129",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
            "identifier": "SW127922",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric John Weber
• Jerome Weber, CRNP
• Angelica Webster
• Crytsal Carter Webster
• Rene Webster, B.A.
• Jacob Weidler, MA
• David Christopher Weigle, DMD
• Madison Weigle, DMD
• Julie Lynn Weinsteiger, MA
• Jennie Weiss, MSW

• Social Worker in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.