Active NPI
Diane Sellers Weir, LCSW MSW
- Social Worker
- Bastrop, TX
National Provider Identifier
1881759165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW 03352
- Practice address
- 1301 Hill St
Bastrop, TX 78602-3008 - Phone
- (512) 303-4456
- Fax
- (512) 303-3639
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW 03352 | TX | Primary |
Addresses
Primary practice location
1301 Hill St
Bastrop, TX 78602-3008
Mailing address
1301 Hill St
Bastrop, TX 78602-3008
Phone (512) 303-4456
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102931601 | Medicaid | TX | |
| 0065DL | Other | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3352 | TX | MD | Behavioral Analyst |
| LCSW 03352 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates for Behavioral Health Care PC | Past | Accepting new patients | |
| Bluebonnet Trails Community MHMR Center | Social Worker | Past | Accepting new patients |
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.
-
dba Associates for Behavioral Health
- Psychologist
- Austin, TX
- NPI 1104991793
-
dba Bluebonnet Trails Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1881759165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 HILL ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023008",
"telephone_number": "512-303-4456",
"fax_number": "512-303-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 HILL ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023008",
"telephone_number": "512-303-4456",
"fax_number": "512-303-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIR",
"first_name": "DIANE",
"middle_name": "SELLERS",
"name_prefix": "Mrs.",
"credential": "LCSW MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "LCSW 03352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102931601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0065DL",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.