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: August 23, 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.

NPPES Registry Identity

NPI1063655801
Entity TypeOrganization
Primary Taxonomy1041C0700X
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.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149-009527
Definition
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.
4507 N RAVENSWOOD AVE STE 104, Chicago, IL 60640

Other Identifiers 1

Other1636406IL · Blue Cross/blue Shield

Group Practice 1

Group TaxonomyThis 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

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
4507 N RAVENSWOOD AVE STE 104
CHICAGO, IL 60640
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
Community/Behavioral Health
4507 N RAVENSWOOD AVE STE 104
CHICAGO, IL 60640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Weaver, Lcsw, Ltd.'s NPI number?

The NPI number for Andrew Weaver, Lcsw, Ltd. is 1063655801. It was assigned to this organization in the NPPES registry on April 9, 2009.

Where is Andrew Weaver, Lcsw, Ltd. located?

Andrew Weaver, Lcsw, Ltd. is located at 4507 N Ravenswood Ave Ste 104, Chicago, IL 60640. The listed phone number is (773) 612-1342.

What is Andrew Weaver, Lcsw, Ltd.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Andrew Weaver, Lcsw, Ltd. was last updated on August 5, 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.