Chayla Weaver, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1801853 Issued in OH

Practice address

1865 N Ridge Rd E Ste D
Lorain, OH 44055-3359

Phone

(440) 324-5701

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Huckleberry House, Inc.

  • Voluntary or Charitable Agency
  • Columbus, OH
  • NPI 1164481487
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1972080323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 N RIDGE RD E STE D",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553359",
            "telephone_number": "440-324-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 N RIDGE RD E STE D",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553359",
            "telephone_number": "440-324-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Hamlet St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012599",
            "country_code": "US",
            "telephone_number": "614-294-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CHAYLA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1801853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myron Watchorn
• Harold Watkins
• Jerome A. Watkins, CDCA
• Shanna M Watkins, RN
• Morgan Nicole Watson, CNS
• Cheryl Weber
• Charles R. Wehbe, MD
• Celeste Weise
• Bruce A Weitz, DDS
• David J. Weldele, AU.D

• Social Worker in Lorain, OH
• Providers in Lorain, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.