NICOLE ELIZABETH WEAKLEY (NPI# 1316570435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316570435 |
| Entity Type | Individual |
| Full Name | NICOLE ELIZABETH WEAKLEY |
| Credential | LCSW |
| Practice Address |
1127 Judson Rd Ste 100 Longview TX 75601-5167 |
| Mailing Address |
285 County Road Ne 2050 Mount Vernon TX 75457-5731 |
| Practice Telephone | 9035634297 |
| Mailing Telephone | 9035634297 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
51703 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1508 W Fairmont St Ste A, Longview, TX 756044500 | 9035634297 | 9036800679 |
| Street Address |
1127 JUDSON RD STE 100 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134732282 | Anchored Hope and Healing, Pllc | Social Worker | 1127 Judson Rd Ste 100, Longview, TX 75601-5167 | 2020-08-28 |
| 1568086080 | Jessica Thompson, Lcsw, LLC | Social Worker | 1127 Judson Rd Ste 100, Longview, TX 75601-5167 | 2020-06-01 |
| 1790305829 | Jessica Ellen Thompson | Social Worker | 1127 Judson Rd Ste 100, Longview, TX 75601-5167 | 2020-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| 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 |
|---|---|---|---|---|
| 1336749563 | Kelly Jo Rolland | Social Worker | 2904 4th St Ste 102, Longview, TX 75605-5124 | 2020-10-27 |
| 1184268575 | Cindy Bridey Plata | Social Worker | 1508 W Fairmont St Ste A, Longview, TX 75604-4500 | 2019-10-29 |
| 1831732619 | Natasha Amador | Social Worker | 703 Viewcrest Dr, Longview, TX 75604-4928 | 2019-10-23 |
| 1629551486 | Christy R. Collins, Lcsw Inc | Social Worker | 1011 W Loop 281 Ste 5, Longview, TX 75604-2932 | 2018-09-07 |
| 1336519875 | Levi Migneault | Social Worker | 1417 15th Ave Ste 7, Longview, WA 98632-3736 | 2015-09-27 |
| 1164810446 | Julia Jacobs | Social Worker | 1338 Commerce Ave, Longview, WA 98632 | 2015-01-08 |
| 1265842819 | Christina Collins | Social Worker | 1115 Jaycee Dr, Longview, TX 75604-5802 | 2014-05-05 |
| 1245665025 | David Lee Moeglein | Social Worker | True Counseling, Pllc, 1430 16th Ave, Longview, WA 98632 | 2013-09-11 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1861756033 | Christopher Daniel Forward | Social Worker | 600 Broadway St., Suite 120, Longview, WA 98632 | 2012-07-02 |
| Find all providers in LONGVIEW | ||||
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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.