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MR. RANDALL PAUL WEAVER MSW LCSW 3920
NPI 1689687733
Social Worker in Rogersville, TN

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
101 LENA DRIVE, HAWKINS CN MENTAL HEALTH CTR, ROGERSVILLE, TN 37857(423) 272-9239(423) 272-1803 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randall Paul Weaver Msw Lcsw 3920 NPPES

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

MR. RANDALL PAUL WEAVER MSW LCSW 3920 (NPI 1689687733) is an individual social worker in Rogersville, Tennessee, licensed in Tennessee (LCSW3920) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1689687733
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. RANDALL PAUL WEAVERCredential: MSW LCSW 3920
Location Address101 LENA DRIVE, HAWKINS CN MENTAL HEALTH CTRRogersville, TN 37857
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3696
Phone(423) 272-9239
Fax(423) 272-1803
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689687733 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 TN · LCSW3920
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.
101 LENA DRIVE, Rogersville, TN 37857
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Other Identifiers 9

Other4076033Magellan Navigator
Medicare ID-Type Unspecified3920247TN
Other4076033Magellan Pinnacle
Medicare ID-Type Unspecified3922482TN
Other178871Anthem Prof Trigon Hawkin
Other100884Anthem Pref Trigon
Other4076033Magellan Summit
Other100884Anthem Prof Trigon
Other178871Anthem Pref Trigon Hawkin

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

Mr. Randall Paul Weaver Msw Lcsw 3920 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 ID6800068040
PECOS Enrollment IDI20111011000549
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
79 services13 patients

Other Providers at the Same Location NPPES 3

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

MRS. MARTHA JANE DAVIS BSW
Case Manager/Care Coordinator
101 LENA DRIVE, HAWKINS COUNTY MENTAL HEALTH CLINIC
ROGERSVILLE, TN 37857
Hawkins County (423) 502-9158
MS. KATHY JO ISOM BS
Technician, Other
101 LENA DRIVE
ROGERSVILLE, TN 37857
Hawkins County (423) 272-9239
TRACY R BLEVINS BS
Case Manager/Care Coordinator
101 LENA DRIVE, HAWKINS COUNTY MENTAL HEALTH
ROGERSVILLE, TN 37857
Hawkins County (423) 272-9239

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 Randall Weaver's NPI number?

The NPI number for Randall Weaver is 1689687733. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Randall Weaver located?

Randall Weaver practices at 101 Lena Drive Hawkins Cn Mental Health Ctr, Rogersville, TN 37857. The listed phone number is (423) 272-9239.

What is Randall Weaver's specialty?

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

Is Randall Weaver enrolled in Medicare?

Yes. Randall Weaver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Randall Weaver was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.