JONATHAN DAVID WEAVER
NPI 1033745856
Social Worker in Rochester, NY

Q: What is Jonathan Weaver's NPI number?

The NPI number for Jonathan Weaver is 1033745856. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Q: What is Jonathan Weaver's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Weaver was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2020PECOS Enrolled

1 MUSTARD ST, ROCHESTER, NY 14609(585) 654-1500 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan David Weaver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN DAVID WEAVER (NPI 1033745856) is an individual social worker in Rochester, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033745856

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameJONATHAN DAVID WEAVER

Location Address1 MUSTARD STRochester, NY 14609-6980

Mailing Address1 Mustard StRochester, NY 14609-6980 · (585) 654-1500

Phone(585) 654-1500

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 13, 2020

NPPES CertifiedMarch 13, 2020

✔ NPI 1033745856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

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.

1 MUSTARD ST, Rochester, NY 14609

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Other Identifiers 1

Medicaid10451000000XNY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan David Weaver is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901378611

PECOS Enrollment IDI20260614000141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN MILONNI

Social Worker (Clinical)