Individual provider Active NPI

Kerri Ann Weaver, LISW

  • Clinical Social Worker
  • Sioux City, IA
National Provider Identifier
1750620480
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04504 Issued in IA
Practice address
4230 Hamilton Blvd
Sioux City, IA 51104-1137
Phone
(712) 239-4300
NPI assigned
Jan 31, 2013
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 04504 IA Primary

Addresses

Primary practice location

4230 Hamilton Blvd
Sioux City, IA 51104-1137

Mailing address

200 Gold Cir Ste 120
Dakota Dunes, SD 57049-5501
Phone (605) 217-0700

Other practice location 1

625 Court Street
Siouxland Mental Health Center
Sioux City, IA 51101-1917
Phone (712) 252-3871

Other identifiers 1

IdentifierTypeStateIssuer
0074617MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180907000344 IA Practitioner - Clinical Social Worker 1052661345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Care of Siouxland PLCGroup PAC ID 7315839412, 49 clinicians

Practice addresses (Care Compare)

4230 Hamilton Blvd
Sioux City, IA 51104-1137
Phone (712) 239-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care of Siouxland PLC CurrentSince Sep 17, 2018 Accepting new patients
Family Health Care of Siouxland LLC Past Accepting new patients

Locations

4230 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 239-4300

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

814 Pierce St
Ste 300
Sioux City, IA 51101
Phone (712) 226-2600

200 Gold Cir
Ste 120
Dakota Dunes, SD 57049

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1750620480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GOLD CIR STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495501",
            "telephone_number": "605-217-0700",
            "fax_number": "605-217-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041137",
            "telephone_number": "712-239-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Court Street",
            "address_2": "Siouxland Mental Health Center",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011917",
            "country_code": "US",
            "telephone_number": "712-252-3871",
            "fax_number": "712-252-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "04504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074617",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.