JENNIFER L WEAVER (LCSW) – Clinical Social Worker, NPI 1275777229

JENNIFER L WEAVER (LCSW) is a healthcare provider. based in Fort lauderdale, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW-7436 (FL). The NPI Number for JENNIFER L WEAVER (LCSW) is 1275777229

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L WEAVER (LCSW)
NPI
1275777229
Phone
(786) 256-4110
Address
1726 SE 3RD AVE
Enumeration Date
21 April 2009
Last Update Date
12 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5709613361
Graduation Year
2000 (26 years ago)
PAC ID
4688711294
Group Practice PAC ID
5890950281
Professional Enrollment ID
I20200603001974
Address ID
PA185071323MO4101XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for JENNIFER L WEAVER (LCSW)

  • 1726, Southeast 3rd Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States

    FORT LAUDERDALE, FL 333162514

    Phone: (786) 256-4110

    Type: Mailing

  • Northeast 18th Avenue, Sunrise Key, Fort Lauderdale, Broward County, Florida, 33304, United States

    FORT LAUDERDALE, FL 333162514

    Phone: (786) 256-4110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200603001974IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33316)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890950281View full group profile
NameSpecialtyState
-PA
Clinical PsychologistPA
-PA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical Social WorkerMA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical Social WorkerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIFER L WEAVER (LCSW)'s NPI?
Yes. JENNIFER L WEAVER (LCSW) is listed with NPI 1275777229 in the public NPI dataset.
Can I rely on JENNIFER L WEAVER (LCSW) being an active provider?
As of the registry snapshot, JENNIFER L WEAVER (LCSW) is marked active.
What taxonomy line describes JENNIFER L WEAVER (LCSW)?
For research purposes, treat JENNIFER L WEAVER (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIFER L WEAVER (LCSW)?
JENNIFER L WEAVER (LCSW)'s geographic hint is Fort Lauderdale, Florida in our summary view.
Is the information about JENNIFER L WEAVER (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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