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MR. JACK WEITZMAN LCSW
NPI 1891852794
Social Worker - Clinical in Alameda, CA

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
1215 FOUNTAIN ST, ALAMEDA, CA 94501(408) 396-6191(408) 972-6494 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Weitzman Lcsw NPPES

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

MR. JACK WEITZMAN LCSW (NPI 1891852794) is an individual clinical provider in Alameda, California, licensed in California (LN009294) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1891852794
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACK WEITZMANCredential: LCSW
Location Address1215 FOUNTAIN STAlameda, CA 94501-4824
Mailing Address1215 Fountain StAlameda, CA 94501-4824 · (408) 396-6191 · Fax (408) 972-6494
Phone(408) 396-6191
Fax(408) 972-6494
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJanuary 2, 2023
NPPES CertifiedJanuary 2, 2023
✔ NPI 1891852794 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 CA · LN009294
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.
1215 FOUNTAIN ST, Alameda, CA 94501
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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. Jack Weitzman Lcsw 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 ID7810948767
PECOS Enrollment IDI20050208000615
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 94501 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Jack Weitzman's NPI number?

The NPI number for Jack Weitzman is 1891852794. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Jack Weitzman located?

Jack Weitzman practices at 1215 Fountain St, Alameda, CA 94501. The listed phone number is (408) 396-6191.

What is Jack Weitzman's specialty?

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

Is Jack Weitzman enrolled in Medicare?

Yes. Jack Weitzman 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 Jack Weitzman was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.