Douglas Paul Weaver Jr., LCSW, CCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC20836 Issued in ME

Practice address

20 Mollison Way
Lewiston, ME 04240

Phone

(207) 468-2047

Fax

(207) 645-2372

NPI assigned

Sep 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1932682200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-467-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-468-2047",
            "fax_number": "207-645-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Sabattus Rd",
            "address_purpose": "LOCATION",
            "city": "Sabattus",
            "state": "ME",
            "postal_code": "042804110",
            "country_code": "US",
            "telephone_number": "207-485-4556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "LCSW, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC20836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Warren
• Kastle Waters, MS OTR/L
• Laura L Watson, PT
• Ross Watson, MD
• Wayeel Home Care
• Bruce H Webber, LCSW
• Sarah Weekes
• Deanna Weeks
• Lynette J Weeman, D.O.
• Mary Kay Weisenberger

• Clinical Social Worker in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.