Gina Roussel Weaver, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9609 Issued in LA

Practice address

8387 Newfield Dr
Livonia, LA 70755-3605

Phone

(225) 412-0202

Fax

(225) 412-0366

NPI assigned

May 5, 2022

Sex

Female

Sole proprietor

No

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, last updated by the provider on May 5, 2022.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1831835552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 SECTION RD",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707675116",
            "telephone_number": "225-505-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8387 NEWFIELD DR",
            "city": "LIVONIA",
            "state": "LA",
            "postal_code": "707553605",
            "telephone_number": "225-412-0202",
            "fax_number": "225-412-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEL WEAVER",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Livonia",
            "affiliation": "N",
            "endpointDescription": "Arbor Family Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8387 Newfield Dr",
            "city": "Livonia",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707553605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Kleinpeter
• Alvin Jacob Laprarie, APRN, FNP-C
• Pointe Coupee Thrif T Way Phy
• Jessica Rivera Esquivel, BS, BCABA
• Mackenzie Roberts
• Margaret P Scroggs, FNP
• James Wyatt Walker, RPH
• Walker'S Comprehensive Healthcare, LLC
• Federica Cherill Williams, MD
• Judy Williams

• All providers in Livonia, LA
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.