Saundra Y Weatherup, LCSWR BCD SAP DABFSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

037518R Issued in NY

Practice address

225 Sagamore Drive
Rochester, NY 14617

Phone

(585) 467-3751

Fax

(585) 756-9682

NPI assigned

Apr 27, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1770540411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SAGAMORE DRIVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14617",
            "telephone_number": "585-467-3751",
            "fax_number": "585-756-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SAGAMORE DRIVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14617",
            "telephone_number": "585-467-3751",
            "fax_number": "585-756-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERUP",
        "first_name": "SAUNDRA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LCSWR BCD SAP DABFSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "037518R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015730195",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen M Wayne, RN
• Berge Wazirian, DMD
• Rene Tara Wazowicz
• Dantae Weathers
• Dayton Junius Weathers, LOPN
• Aaron Weaver, M.D.
• Ariana M Weaver, RN
• Jessica L Weaver, LMSW
• Jonathan David Weaver
• Kristy Weaver

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.

Verify at the official NPI Registry.