MR. RANDY STEVEN WEAVER LCSW
NPI 1215588918
Social Worker - Clinical in Salt Lake City, UT

Active since September 24, 2019
4055 S 700 E STE 202, SALT LAKE CITY, UT 84107(801) 209-5134 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Randy Steven Weaver Lcsw NPPES

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

MR. RANDY STEVEN WEAVER LCSW (NPI 1215588918) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (136474-3501) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1215588918
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. RANDY STEVEN WEAVERCredential: LCSW
Location Address4055 S 700 E STE 202Salt Lake City, UT 84107-2504
Mailing Address4055 S 700 E Ste 202Salt Lake City, UT 84107-2504 · (801) 209-5134
Sole ProprietorYes
Enumeration DateSeptember 24, 2019
NPI 1215588918 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 UT · 136474-3501
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.
4055 S 700 E STE 202, Salt Lake City, UT 84107

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 Randy Weaver's NPI number?

The NPI number for Randy Weaver is 1215588918. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Randy Weaver located?

Randy Weaver practices at 4055 S 700 E Ste 202, Salt Lake City, UT 84107. The listed phone number is (801) 209-5134.

What is Randy Weaver'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 Randy Weaver was last updated on September 24, 2019. 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.