Sierra Jade Weavil, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020145 Issued in NC

Practice address

1900 Scott Ave
Charlotte, NC 28203-6046

Phone

(704) 503-8248

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1770041220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LAWRY RUN DR APT 403",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733495",
            "telephone_number": "828-989-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCOTT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036046",
            "telephone_number": "704-503-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVIL",
        "first_name": "SIERRA",
        "middle_name": "JADE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Michele Weaver
• Sheila Green Weaver, LCSWA
• Stephanie Meiners Weaver, PA-C
• Tommy L Weaver, MD
• Wyatt Cole Weaver, PHARMD, MBA
• Webb & Goldsmith X PLLC
• Audrey Webb
• Carlos Webb
• Cassidy Nicole Webb, LCSW
• Colin Michael Webb, DDS MS MBA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.