MR. RANDALL PAUL WEAVER (NPI# 1689687733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689687733 |
| Entity Type | Individual |
| Full Name | MR. RANDALL PAUL WEAVER |
| Credential | MSW LCSW 3920 |
| Practice Address |
101 Lena Drive Hawkins Cn Mental Health Ctr Rogersville TN 37857 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4232729239 |
| Practice Fax Number | 4232721803 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LCSW3920 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAGELLAN NAVIGATOR | 4076033 | 01 | |
| MAGELLAN PINNACLE | 4076033 | 01 | |
| ANTHEM PREF TRIGON HAWKIN | 178871 | 01 | |
| MAGELLAN SUMMIT | 4076033 | 01 | |
| ANTHEM PROF TRIGON | 100884 | 01 | |
| ANTHEM PREF TRIGON | 100884 | 01 | |
| ANTHEM PROF TRIGON HAWKIN | 178871 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104289776 | Randall Weaver II | Massage Therapist | 5146 Stadium Ln Se, D-305, Olympia, WA 98501-5146 | 2016-04-01 |
| 1912092677 | Randall W Weaver | Family Medicine | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2006-10-04 |
| Street Address |
101 LENA DRIVE HAWKINS CN MENTAL HEALTH CTR |
| City | ROGERSVILLE |
| State | TN |
| Zip Code | 37857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609990399 | Kathy Jo Isom | Technician, Other | 101 Lena Drive, Rogersville, TN 37857 | 2007-03-19 |
| 1265570543 | Martha Jane Davis | Case Manager/Care Coordinator | 101 Lena Drive, Hawkins County Mental Health Clinic, Rogersville, TN 37857 | 2007-02-01 |
| 1881777555 | Tracy R Blevins | Case Manager/Care Coordinator | 101 Lena Drive, Hawkins County Mental Health, Rogersville, TN 37857 | 2006-10-24 |
| 1235212911 | Peggy L Hall | Case Manager/Care Coordinator | 101 Lena Drive, Rogersville, TN 37857 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942766852 | Alaina M Kuebler | Occupational Therapist | 109 Tn-70, Rogersville, TN 37857 | 2019-02-15 |
| 1366823460 | Crystal L Stiltner | Family Medicine | 405 Scenic Dr Ste B, Rogersville, TN 37857 | 2015-06-15 |
| 1689867715 | Louis V Salamina | Chiropractor | 952 W. Broadway Suite 100, Rogersville, TN 37857 | 2007-08-22 |
| 1538224464 | Timothy D. Gunnin, D.d.s., P.C. | Dentist | 110 South Hasson Street, Rogersville, TN 37857 | 2006-12-22 |
| 1952464232 | Timothy Davis Gunnin | Dentist | 110 South Hasson St, Rogersville, TN 37857 | 2006-12-18 |
| 1043393358 | Andrew John Morgan | Case Manager/Care Coordinator | 101 Lena Dr., Rogersville, TN 37857 | 2006-10-23 |
| 1922191428 | Hometown Home Health Care, Inc. | Home Health | 121 Forest Hills Rd., Suite B, Rogersville, TN 37857 | 2006-10-02 |
| 1194754234 | Blue Ridge Medical Management Corporation | Internal Medicine | Health Link of Rogersville, 900 West Main Street, Rogersville, TN 37857 | 2006-07-01 |
| 1497700629 | James Robertson Price | Pharmacist | 4017 Highway 66 #7, Rogersville, TN 37857 | 2006-05-24 |
| 1659353761 | Hawkins County Ems | Ambulance | 955 East Mckinney Avenue, Rogersville, TN 37857 | 2005-11-15 |
| Find all providers in zip 37857 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083627160 | Chad Lee Duncan | Social Worker | 101 Lena Dr, Rogersville, TN 37857-2951 | 2006-08-13 |
| 1982845491 | Rebecca R Byrd | Social Worker | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2009-03-12 |
| 1083810220 | Tammy Lorraine Robbins | Social Worker | 101 Lena Dr, Rogersville, TN 37857-2951 | 2007-06-25 |
| 1639211881 | Alison Lynn Winegar | Social Worker | 101 Lena Dr, Rogersville, TN 37857-2951 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121735 | Takindra Worles | Social Worker | 164 Summit Rd, Stanton, TN 38069-4646 | 2020-10-15 |
| 1679171680 | Gena Leone | Social Worker | 7973 Boone Trce, Nashville, TN 37221-6508 | 2020-10-12 |
| 1801403258 | Genkoya Leaman | Social Worker | 1120 Dickerson Pike Ste F, Nashville, TN 37207-5405 | 2020-09-29 |
| 1740897495 | Patrisha Faye Tatum | Social Worker | 1740 Urban Trl Apt 102, Chattanooga, TN 37405-1536 | 2020-09-28 |
| 1366057341 | Arlishia Rashunda Irby | Social Worker | 1798 W Holmes Rd, Memphis, TN 38109-6066 | 2020-09-15 |
| 1043824303 | Lakeithia Shaveice Hawkins | Social Worker | 167 E Raines Rd, Memphis, TN 38109-4533 | 2020-09-03 |
| 1093328080 | Mark Scharnhorst | Social Worker | 1989 Madison St Ste 222, Clarksville, TN 37043-5067 | 2020-08-28 |
| 1669082855 | Genessa Roberts | Social Worker | 3211 N Roan St, Johnson City, TN 37601-1213 | 2020-08-03 |
| 1881202935 | Ebony Symone Richey | Social Worker | 5200 Broken Oak Dr, Memphis, TN 38127-2521 | 2020-07-15 |
| 1356959456 | Aliyah Marie Diggins Price | Social Worker | 7227 Heritage Oak Dr, Memphis, TN 38125-4128 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | ROGERSVILLE |
| Zip Code | 37857 |
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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.