Jamie Weaver, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28929 Issued in MD

Practice address

20 Craigtown Rd Ste 102
Port Deposit, MD 21904-1801

Phone

(410) 642-9172

NPI assigned

Feb 20, 2025

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MD

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, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Conowingo, MD
  • NPI 1366625089
  Medicare reassignment
• Corazon-Panes Sanchez,LLC

  • Pediatrics Physician
  • Rising Sun, MD
  • NPI 1255156576
  NPD (past)

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1982400099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E MAPLE HEIGHTS CT",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219111899",
            "telephone_number": "443-993-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRAIGTOWN RD STE 102",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219041801",
            "telephone_number": "410-642-9172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Ryan Dr",
            "address_purpose": "LOCATION",
            "city": "Rising Sun",
            "state": "MD",
            "postal_code": "219111841",
            "country_code": "US",
            "telephone_number": "410-642-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JAMIE",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Made Physical Therapy
• Union Hospital of Cecil County (dba Bainbridge Elementary School SBHC)
• Union Hospital of Cecil County (Perryville Diagnostic Center)
• Keri Michelle Volpini, FNP-C
• Water Witch Fire Company Inc
• Tyrone Delano Willoughby Jr., LCSW-C
• Win Team
• Win Team LLC
• Win Team, LLC
• Win Team, LLC

• Clinical Social Worker in Port Deposit, MD
• Providers in Port Deposit, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.