Individual provider Active NPI

Zed S Weatherholt, LSW MA

  • Social Worker
  • Marlinton, WV
National Provider Identifier
1790845428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
AP00452489 Issued in WV
Practice address
704 A Third Ave
Seneca Health Services Inc
Marlinton, WV 24954
Phone
(304) 799-6865
Fax
(304) 799-6878
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AP00452489 WV Primary

Addresses

Primary practice location

704 A Third Ave
Seneca Health Services Inc
Marlinton, WV 24954

Mailing address

1305 Webster Rd
Seneca Health Services Inc
Summersville, WV 26651
Phone (304) 872-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AP00452489WVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790845428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WEBSTER RD",
            "address_2": "SENECA HEALTH SERVICES INC",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "26651",
            "telephone_number": "304-872-6577",
            "fax_number": "304-872-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 A THIRD AVE",
            "address_2": "SENECA HEALTH SERVICES INC",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "24954",
            "telephone_number": "304-799-6865",
            "fax_number": "304-799-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERHOLT",
        "first_name": "ZED",
        "middle_name": "S",
        "credential": "LSW MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00452489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlinton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.