PHEASANT WEBER
NPI 1174303671
Social Worker in Long Beach, WA

Q: What is Pheasant Weber's NPI number?

The NPI number for Pheasant Weber is 1174303671. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Q: What is Pheasant Weber'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 Pheasant Weber was last updated on October 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment

2204 PACIFIC AVE N, LONG BEACH, WA 98631(360) 642-3787(360) 642-2096 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Pheasant Weber NPPES

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

PHEASANT WEBER (NPI 1174303671) is an individual social worker in Long Beach, Washington and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174303671

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NamePHEASANT WEBER

Location Address2204 PACIFIC AVE NLong Beach, WA 98631-3300

Mailing Address2204 Pacific Ave NLong Beach, WA 98631-3300

Phone(360) 642-3787

Fax(360) 642-2096

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 2, 2023

NPPES CertifiedOctober 2, 2023

✔ NPI 1174303671 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.

2204 PACIFIC AVE N, Long Beach, WA 98631

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pheasant Weber is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476029430

PECOS Enrollment IDI20260416003454

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.

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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.

ANDREW WALKER

Counselor (Mental Health)