KERRI ANN WEAVER (NPI# 1750620480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750620480 |
| Entity Type | Individual |
| Full Name | KERRI ANN WEAVER |
| Credential | LISW |
| Practice Address |
4230 Hamilton Blvd Sioux City IA 51104 |
| Mailing Address |
814 Pierce St Ste 300 Sioux City IA 51101-1058 |
| Practice Telephone | 7122394300 |
| Mailing Telephone | 7122262600 |
| Mailing Fax Number | 7122262605 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2018-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
04504 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0074617 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 Court Street, Siouxland Mental Health Center, Sioux City, IA 511011917 | 7122523871 | 7122523157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649711144 | Kerri Peterson Weaver | Counselor | 400 Reservoir Ave Ste Llo, Providence, RI 02907-3595 | 2017-03-16 |
| Street Address |
4230 HAMILTON BLVD |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790760262 | Kurt Andre Rosenkrans | Emergency Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2005-12-07 |
| 1093911372 | Joseph Adam Kurth | Family Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2007-06-25 |
| 1427064146 | Michael D. Harder | Family Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2006-08-01 |
| 1437170685 | Family Health Care of Siouxland Plc | Family Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2006-07-22 |
| 1023066610 | Maureen Janet Fisher | Physician Assistant | 4230 Hamilton Blvd, Urgent Care North Side, Sioux City, IA 51104 | 2006-05-05 |
| 1295794402 | Carol L Roge | Family Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2006-03-17 |
| 1760457725 | John F Kissel | Family Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2006-02-22 |
| 1720053796 | Terry Howard Mitchell | Family Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2006-02-22 |
| 1164497137 | John Haffele Roberts | Family Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2006-02-22 |
| 1134194558 | Thomas E Schryver | Family Medicine | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 | 2006-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
| 1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
| 1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
| 1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
| 1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
| 1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
| 1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
| Find all providers in zip 51104 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508377391 | Katherine Louise Quesenberry | Social Worker | 822 Douglas St Fl 2, Sioux City, IA 51101-1029 | 2017-10-19 |
| 1598126492 | Gladys Smith | Social Worker | 3500 W 4th St, Sioux City, IA 51103-3203 | 2016-03-19 |
| 1396021580 | Cynthia Ann Ebner | Social Worker | 505 5th St Ste 510, Sioux City, IA 51101-1506 | 2011-11-01 |
| 1063712040 | Mary Elizabeth Jordan | Social Worker | 1551 Indian Hills Dr Ste 206, Sioux City, IA 51104-1857 | 2010-10-25 |
| 1508170366 | Teresa Patricia Mcelroy | Social Worker | 3632 Pierce St, Sioux City, IA 51104-2031 | 2010-08-03 |
| 1124354352 | Carol Madsen Watchorn | Social Worker | Nseling Practice, 915 Pierce St, Sioux City, IA 51101 | 2009-10-22 |
| 1194059402 | Emily D Mcgaffin | Social Worker | 4501 Manor Cir, Sioux City, IA 51104-1046 | 2009-09-21 |
| 1134362007 | Robin Maurice Capers | Social Worker | 1115 5th Street, Sioux City, IA 51101-1316 | 2009-04-08 |
| 1184891293 | Jeanette Renee Tobin | Social Worker | 625 Court Street, Sioux City, IA 51101-1917 | 2008-05-08 |
| 1013181502 | Advance Therapy Mental Health and Recovery Services LLC | Social Worker | 705 Douglas St Ste 325, Benson Bldg, Sioux City, IA 51101-1016 | 2008-04-16 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.