Active NPI
Jeffrey Weist, MSW, LICSW
- Clinical Social Worker
- Bremerton, WA
National Provider Identifier
1700861986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00006674
- Practice address
- 7500 Old Military Rd #103
Bremerton, WA 98311-3241 - Phone
- (360) 698-9258
- Fax
- (360) 698-9296
- NPI assigned
- Dec 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00006674 | WA | Primary |
Addresses
Primary practice location
7500 Old Military Rd #103
Bremerton, WA 98311-3241
Mailing address
7500 Old Military Rd #103
Bremerton, WA 98311
Phone (360) 698-9258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006674 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1700861986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 OLD MILITARY RD #103",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98311",
"telephone_number": "360-698-9258",
"fax_number": "360-698-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 OLD MILITARY RD #103",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113241",
"telephone_number": "360-698-9258",
"fax_number": "360-698-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIST",
"first_name": "JEFFREY",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00006674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.