Active NPI
Wendy Rhnea Weston, MSW, LCSW
- Clinical Social Worker
- Ketchikan, AK
National Provider Identifier
1700182086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1167
- Practice address
- 2960 Tongass Ave
Ketchikan, AK 99901-5742 - Phone
- (907) 228-9302
- Fax
- (907) 228-9597
- NPI assigned
- Feb 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 1167 | AK | Primary |
Addresses
Primary practice location
2960 Tongass Ave
Ketchikan, AK 99901-5742
Mailing address
2960 Tongass Ave
Ketchikan, AK 99901-5742
Phone (907) 228-9302
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 |
|---|---|---|---|
| 1167 | AK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349481600000",
"number": "1700182086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 TONGASS AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015742",
"telephone_number": "907-228-9302",
"fax_number": "907-228-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 TONGASS AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015742",
"telephone_number": "907-228-9302",
"fax_number": "907-228-9597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTON",
"first_name": "WENDY",
"middle_name": "RHNEA",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2012-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "1167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.