ANDREW WEAVER, LCSW, LTD.
NPI 1063655801
Social Worker - Clinical in Chicago, IL

Active since April 09, 2009
4507 N RAVENSWOOD AVE STE 104, CHICAGO, IL 60640(773) 612-1342(708) 525-0909 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew Weaver, Lcsw, Ltd. NPPES

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

ANDREW WEAVER, LCSW, LTD. (NPI 1063655801) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since April 2009. The organization lists Andrew Weaver, President, as its authorized official.Information from the official NPPES registry record, last updated August 5, 2020.

NPPES Registry Identity

NPI1063655801
Entity TypeOrganization
Legal Business NameANDREW WEAVER, LCSW, LTD.
Location Address4507 N RAVENSWOOD AVE STE 104Chicago, IL 60640-5218
Mailing Address4507 N Ravenswood Ave Ste 104Chicago, IL 60640-5218 · (773) 612-1342 · Fax (708) 525-0909
Fax(708) 525-0909
Organization SubpartNo
Authorized OfficialAndrew WeaverPresident · (773) 612-1342
Enumeration DateApril 9, 2009
Last NPPES UpdateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
NPI 1063655801 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

Licensed in IL · 149-009527

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… Show more

4507 N RAVENSWOOD AVE STE 104, Chicago, IL 60640

Also on File with NPPES

Other Identifiers1
1636406 (Other, IL, Blue Cross/blue Shield)
Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
4507 N RAVENSWOOD AVE STE 104
CHICAGO, IL 60640
Clinic/Center (Mental Health (Including Community Mental Health Center))
4507 N RAVENSWOOD AVE STE 104
CHICAGO, IL 60640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063655801, enumerated as an "organization" on April 09, 2009.

The provider is located at 4507 N RAVENSWOOD AVE STE 104 CHICAGO, IL 60640 and the phone number is (773) 612-1342.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.