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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN WEATHERLY LICSW
NPI 1366258899
Social Worker - Clinical in Birmingham, AL

Active since December 09, 2024PECOS Enrolled
1509 6TH AVE S, BIRMINGHAM, AL 35233(205) 934-1917 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 25, 2026, Dec 9, 2024 (2 updates tracked since 2024).

About Justin Weatherly Licsw NPPES

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

JUSTIN WEATHERLY LICSW (NPI 1366258899) is an individual clinical provider in Birmingham, Alabama, licensed in Alabama (6857C) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1366258899
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN WEATHERLYCredential: LICSW
Location Address1509 6TH AVE SBirmingham, AL 35233-1601
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Phone(205) 934-1917
Sole ProprietorYes
Enumeration DateDecember 9, 2024
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1366258899 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 AL · 6857C
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.
1509 6TH AVE S, Birmingham, AL 35233
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Secondary Practice Location 1

Location 1908 20th St S # 4Birmingham, AL 35205-2610 · Phone (205) 934-4108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Weatherly Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PEGGY WATSON CRNP
Nurse Practitioner (Family)
1509 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 930-3245
JOHNRICK PIERCE BISHOP
Radiology (Diagnostic Radiology)
1509 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 930-3200
DR. RAEGAN WINSTON DURANT MD, MPH
Internal Medicine
1509 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 930-3245
KELLI HANNA EDWARDS LICSW
Social Worker (Clinical)
1509 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-1917
KIMBERLY C BOACKLE CRNP
Nurse Practitioner (Family)
1509 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 930-3204
STEVEN BRIA CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1509 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 930-3200
DR. AARON BUSH DO
Radiology (Diagnostic Radiology)
1509 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 930-3200
CHRISTINA NADAR
Internal Medicine
1509 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 930-3200

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 Justin Weatherly's NPI number?

The NPI number for Justin Weatherly is 1366258899. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Justin Weatherly located?

Justin Weatherly practices at 1509 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-1917.

What is Justin Weatherly's specialty?

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

Is Justin Weatherly enrolled in Medicare?

Yes. Justin Weatherly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Weatherly was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.