Marguerite Nonnie Weaver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005696 Issued in WA

Practice address

208 Church St
Kelso, WA 98626-3409

Phone

(360) 425-1322

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942253190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CHURCH ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263409",
            "telephone_number": "360-425-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CHURCH ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263409",
            "telephone_number": "360-425-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MARGUERITE",
        "middle_name": "NONNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF WA",
            "identifier": "WE3213",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Vandervoort, MSW, LSWAIC
• Rachel Ann Wallace, BA, CDPT
• Joey Adam Wardell
• Washington CVS Pharmacy LLC
• WCHS Inc
• Gregory A Webster, OD
• Paul Allen Welk, AS,CDP
• Elizabeth Frances Wheeler, BS, AAC
• Curtis Clell Whitney, LPN
• Kaprice M Widener, MA, CCC-SLP

• Clinical Social Worker in Kelso, WA
• Providers in Kelso, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.