MR. RANDALL PAUL WEAVER MSW LCSW 3920 NPI 1689687733

NPI Information

  • NPI: 1689687733
  • Provider Name: MR. RANDALL PAUL WEAVER, MSW LCSW 3920
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 LENA DRIVE
    HAWKINS CN MENTAL HEALTH CTR
    ROGERSVILLE, TN
    ZIP 37857
  • Phone: (423) 272-9239

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NPI Details

MR. Randall Paul Weaver, MSW LCSW 3920 is a social worker in Rogersville, TN with 29 years of experience. The provider is 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. MR. Randall Paul Weaver, MSW LCSW 3920 NPI is 1689687733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 LENA DRIVE
HAWKINS CN MENTAL HEALTH CTR
ROGERSVILLE, TN
ZIP 37857
Phone: (423) 272-9239
Fax: (423) 272-1803

The NPI 1689687733 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90834)

The enumeration date for this NPI number is 8/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerLCSW3920TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14076033OTHERMAGELLAN NAVIGATOR
23920247MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
34076033OTHERMAGELLAN PINNACLE
43922482MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
5178871OTHERANTHEM PROF TRIGON HAWKIN
6100884OTHERANTHEM PREF TRIGON
74076033OTHERMAGELLAN SUMMIT
8100884OTHERANTHEM PROF TRIGON
9178871OTHERANTHEM PREF TRIGON HAWKIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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