Ms Kathryn Jo Weaver, LCSW & LAT is a
Social Worker - Clinical based in Sierra Vista, Arizona. Ms Kathryn Jo Weaver is licensed to practice in Wyoming (license number LCSW-579) and her current practice location is
101 N Coronado Dr Ste A, Sierra Vista, Arizona. She can be reached at her office (for appointments etc.) via phone at
(520) 343-2940.
NPI number for Ms Kathryn Jo Weaver is 1114243342 and her current mailing address is 20 Navajo Trl, Bisbee, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114243342.
Healthcare Provider's Profile
| Full Name | Ms Kathryn Jo Weaver |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 101 N Coronado Dr Ste A, Sierra Vista, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114243342
- Provider Enumeration Date: 04/13/2010
- Last Update Date: 08/22/2016
Medical Identifiers
Medical identifiers for Ms Kathryn Jo Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114243342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LAT-305 (Wyoming) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-579 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kathryn Jo Weaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kathryn Jo Weaver, LCSW & LAT
20 Navajo Trl,
Bisbee, AZ 85603-1639
Ph: (307) 752-7678 | Ms Kathryn Jo Weaver, LCSW & LAT
101 N Coronado Dr Ste A,
Sierra Vista, AZ 85635-6359
Ph: (520) 343-2940 |
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