DR. WILLIAM MIMMS WEATHERS JR. (NPI# 1942510649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942510649 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MIMMS WEATHERS JR. |
| Credential | CSW |
| Practice Address |
810 S Main St Elkton KY 42220 |
| Mailing Address |
Po Box 400 Elkton KY 42220-0400 |
| Practice Telephone | 2702651137 |
| Practice Fax Number | 2702655605 |
| Mailing Telephone | 2702651137 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 7546 | KY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6001 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316268824 | William Mccaleb Weathers | Radiology | 6431 Fannin St # Msb2.026, Houston, TX 77030-1501 | 2010-06-18 |
| 1447260005 | William Albert Weathers | Dentist | 314 Laurel Ave, Grover, NC 28073 | 2006-08-08 |
| 1801837968 | William Travis Weathers | Pediatrics | 1650 Skyn Drive, Suite 240, Spartanburg, SC 29307-1069 | 2006-06-09 |
| 1295018109 | William M Weathers | Pharmacist | 17800 Congress Ave, Boca Raton, FL 33487-1200 | 2011-09-27 |
| 1306972849 | William R Weathers | Radiology | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2007-02-27 |
| Street Address |
810 S MAIN ST |
| City | ELKTON |
| State | KY |
| Zip Code | 42220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770129272 | Diana Leszczewicz | Nurse Practitioner | 810 S Main St, Elkton, KY 42220-8812 | 2019-11-20 |
| 1851945257 | Katie Hare Kuzma | Nurse Practitioner | 810 S Main St, Elkton, KY 42220-8812 | 2019-07-25 |
| 1023532397 | Jennifer Lynne Henderson | Nurse Practitioner | 810 S Main St, Elkton, KY 42220-8812 | 2017-07-28 |
| 1346670189 | Helping Hands Health Clinic Inc | Family Medicine | 810 S Main St, Elkton, KY 42220 | 2013-11-14 |
| 1962618033 | Holly Annette Groves | Dietitian, Registered | 810 S Main St, Elkton, KY 42220-8812 | 2007-05-15 |
| 1144301086 | Thomas G. Grabenstein | Family Medicine | 810 S Main St, Elkton, KY 42220-8812 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326511494 | Cagneys Clinic Pllc | Clinic/Center | 13000 Greenville Road, Elkton, KY 42220 | 2019-01-10 |
| 1588115075 | Todd County Health Department | Public Health or Welfare | 205 Mcreynolds Drive, Elkton, KY 42220 | 2016-10-19 |
| 1013337765 | Lance Mansfield | Pharmacist | 44 Public Sq, Elkton, KY 42220 | 2014-04-21 |
| 1861839664 | Com-care, Inc | Ambulance | 813 S. Main St., Elkton, KY 42220 | 2013-06-03 |
| 1639467079 | Regenia Ann Greenfield | Occupational Therapist | 503 Allensville Street, Elkton, KY 42220 | 2011-07-19 |
| 1881711786 | Sites Vision Clinic | Optometrist | 81 Public Square Ave., Elkton, KY 42220 | 2007-03-23 |
| 1669519112 | Lk Mansfield LLC | Durable Medical Equipment & Medical Supplies | 44 Public Square, Elkton, KY 42220 | 2007-01-31 |
| 1659427383 | Todd County Board of Education | Local Education Agency (LEA) | 205 Airport Rd., Elkton, KY 42220 | 2007-01-26 |
| 1386668705 | Paula Putman Murray | Optometrist | 81 Public Square East, Sites Vision Clinic, Elkton, KY 42220 | 2006-07-27 |
| 1942284864 | Todd County Health Department | Public Health or Welfare | 205 Mcreynolds Dr, Ekton, KY 42220 | 2005-12-05 |
| Find all providers in zip 42220 | ||||
| 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 |
|---|---|---|---|---|
| 1427602481 | Slothsperity, LLC | Social Worker | 91 Bradley Run Rd, Elkton, MD 21921-3810 | 2019-07-29 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1215302716 | Rebecca Sutton Larson | Social Worker | 111 W High St Ste 204, Elkton, MD 21921-8611 | 2015-12-09 |
| 1003097999 | Stacy Erin Doney | Social Worker | 26 Chesters Way, Elkton, MD 21921-4506 | 2007-11-19 |
| 1306867346 | Gabrielle Manske | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2006-07-23 |
| 1275566572 | Nancy Rafert | Social Worker | 215 North St Ste D, Elkton, MD 21921-5505 | 2006-07-09 |
| 1457977910 | Holly Louise Hite | Social Worker | 1275b W Pulaski Hwy, Elkton, MD 21921-4719 | 2020-06-21 |
| 1023665577 | Frances Horzempa | Social Worker | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2019-08-20 |
| 1316405921 | Courtney Ann Macdowell | Social Worker | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2019-03-04 |
| Find all providers in ELKTON | ||||
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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.