Individual provider Active NPI

Jeannie Marie Weber, MSW, CSW

  • Clinical Social Worker
  • Coldwater, MI
National Provider Identifier
1780627133
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078112 Issued in MI
Practice address
200 Orleans Blvd
Coldwater, MI 49036-1767
Phone
(517) 279-8404
Fax
(517) 279-8172
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 6801078112 MI Primary

Addresses

Primary practice location

200 Orleans Blvd
Coldwater, MI 49036-1767

Mailing address

200 Orleans Blvd
Coldwater, MI 49036-1767
Phone (517) 279-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041209000581 MI Practitioner - Clinical Social Worker 0648236786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Branch County Community Mental Health AuthorityGroup PAC ID 4789612714, 12 clinicians

Practice addresses (Care Compare)

200 Vista Dr
Coldwater, MI 49036-1776
Phone (517) 278-2129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801078112MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Branch County Community Mental Health Authority CurrentSince Jul 31, 2025 Accepting new patients
Integro LLC PastSince Nov 30, 2016 Accepting new patients

Locations

200 Orleans Blvd
Coldwater, MI 49036
Phone (517) 278-2129

200 Vista Dr
Coldwater, MI 49036
Phone (517) 278-2129

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780627133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORLEANS BLVD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361767",
            "telephone_number": "517-279-8404",
            "fax_number": "517-279-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORLEANS BLVD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361767",
            "telephone_number": "517-279-8404",
            "fax_number": "517-279-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JEANNIE",
        "middle_name": "MARIE",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.