DAVID W WEATHERSBY LCSW
NPI 1396855730
Social Worker in Louisville, KY

Q: What is David Weathersby's NPI number?

The NPI number for David Weathersby is 1396855730. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is David Weathersby'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 David Weathersby was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since August 30, 2006PECOS Enrolled

914 E BROADWAY, 1ST FLOOR, LOUISVILLE, KY 40204(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About David W Weathersby Lcsw NPPES

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

DAVID W WEATHERSBY LCSW (NPI 1396855730) is an individual social worker in Louisville, Kentucky, licensed in Kentucky (1326) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1396855730

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameDAVID W WEATHERSBYCredential: LCSW

Location Address914 E BROADWAY, 1ST FLOORLouisville, KY 40204-1037

Mailing Address1143 Fairway St Ste 103Bowling Green, KY 42103-2452 · (407) 347-4536 · Fax (812) 285-8392

Phone(502) 589-8600

Fax(502) 589-8771

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 30, 2006

Last NPPES UpdateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1396855730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in KY · 1326

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.

914 E BROADWAY, Louisville, KY 40204

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Secondary Practice Locations 2

Location 11507 Spring StJeffersonville, IN 47130-2939 · Phone (407) 347-4536 · Fax (812) 285-8392

Location 21143 Fairway St Ste 103Bowling Green, KY 42103-2452 · Phone (407) 347-4536 · Fax (812) 285-8392

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David W Weathersby Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648752550

PECOS Enrollment IDI20260304000952

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.

Medicare Billing Reassignment

Medicare enrollment records show David Weathersby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Substance Abuse Solutions LLC

3.0 mi

Psychiatric/Mental Health

1507 SPRING ST
Jeffersonville, IN 47130

Reassigned Medicare billing, Indiana and Kentucky enrollments
15 clinicians in this Medicare group

NPI 1124598669 (833) 525-3727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOSEPH SCHAEFER

Counselor

914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204

Jefferson County (502) 589-1100

STEPHANIE STEWART

Counselor (Mental Health)

914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204

Jefferson County (502) 589-1100

ELIZABETH SIEVWRIGHT

Social Worker (Clinical)

914 E BROADWAY
LOUISVILLE, KY 40204

Jefferson County (502) 589-8600

JULIANA GROSSI LCSW

Social Worker (Clinical)

914 E BROADWAY
LOUISVILLE, KY 40204

Jefferson County (502) 589-8600

EMILY MILLER

Social Worker

914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204

Jefferson County (502) 589-8600

NATASHA L SCHAEFER

Social Worker (Clinical)

914 E BROADWAY
LOUISVILLE, KY 40204

Jefferson County (502) 587-8833

MR. WILLIAM HOWARD CREASMAN III LCSW

Social Worker (Clinical)

914 E BROADWAY
LOUISVILLE, KY 40204

Jefferson County (502) 587-8833

MARIA E TREVINO

Social Worker (Clinical)

914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204

Jefferson County (502) 589-8600

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 David Weathersby's NPI number?

The NPI number for David Weathersby is 1396855730. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is David Weathersby located?

David Weathersby practices at 914 E Broadway 1st Floor, Louisville, KY 40204. The listed phone number is (502) 589-8600.

What is David Weathersby's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is David Weathersby enrolled in Medicare?

Yes. David Weathersby is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Weathersby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Weathersby reassigns Medicare benefits to Lake Substance Abuse Solutions LLC (Jeffersonville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Weathersby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Weathersby was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.