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TIMOTHY WEAVER
NPI 1730635731
Social Worker in Mount Clemens, MI

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment
2 CROCKER BLVD, MOUNT CLEMENS, MI 48043(810) 305-9649 Get Directions Write a Review

NPPES record last updated: October 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2023, Aug 30, 2016 (2 updates tracked since 2016).

About Timothy Weaver NPPES

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

TIMOTHY WEAVER (NPI 1730635731) is an individual social worker in Mount Clemens, Michigan, licensed in Michigan (6801106824) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730635731
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameTIMOTHY WEAVER
Location Address2 CROCKER BLVDMount Clemens, MI 48043-2528
Mailing Address35181 Pleasant Farm RdRichmond, MI 48062-4235 · (810) 305-9649
Phone(810) 305-9649
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 30, 2016
Last NPPES UpdateOctober 28, 20232 updates tracked since enumeration
NPPES CertifiedOctober 28, 2023
✔ NPI 1730635731 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 MI · 6801106824
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.
2 CROCKER BLVD, Mount Clemens, MI 48043
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Timothy Weaver 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 ID3779907753
PECOS Enrollment IDI20200622001808
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.

Other Providers at the Same Location NPPES 17

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

KRISTY HREBEN MA, LLPC
Counselor (Addiction (Substance Use Disorder))
2 CROCKER BLVD
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-2266
MACOMB RESIDENTIAL OPPORTUNITIES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2 CROCKER BLVD, SUITE 205
MOUNT CLEMENS, MI 48043
Macomb County (586) 469-4480
MRS. KRISTEN MORENO LLMSW
Social Worker (Clinical)
2 CROCKER BLVD, SUITE 101
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-2266
CLAUDIA MARY DEBACKER MA LIP CACT
Psychologist (Counseling)
2 CROCKER BLVD, SUITE 101
MT CLEMENS, MI 48043
Macomb County (586) 468-2266
MS. DENISE M WARNACK MA LPC
Counselor (Professional)
2 CROCKER BLVD, SUITE 101
MT CLEMENS, MI 48043
Macomb County (586) 468-2266
MATTHEW CHARLES RAJNISH
Counselor
2 CROCKER BLVD
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-2266
CAROL KNIGHT
Counselor
2 CROCKER BLVD, SUITE 101
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-2266
CARRIE A RYAN MA, LLPC
Counselor (Professional)
2 CROCKER BLVD
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-2266

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 Timothy Weaver's NPI number?

The NPI number for Timothy Weaver is 1730635731. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Timothy Weaver located?

Timothy Weaver practices at 2 Crocker Blvd, Mount Clemens, MI 48043. The listed phone number is (810) 305-9649.

What is Timothy Weaver's specialty?

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

Is Timothy Weaver enrolled in Medicare?

Yes. Timothy 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.

What insurance does Timothy Weaver accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Timothy Weaver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Weaver was last updated on October 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.