DAVID W WEATHERSBY (LCSW) – Social Worker, NPI 1396855730
Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,195 CLINICAL SOCIAL WORKER in KY
Provider Addresses for DAVID W WEATHERSBY (LCSW)
1143 Fairway St Ste 103
Bowling Green, KY 421032452
Phone: (407) 347-4536
Fax: (812) 285-8392
Type: Location
1507 Spring St
Jeffersonville, IN 471302939
Phone: (407) 347-4536
Fax: (812) 285-8392
Type: Location
10101 LINN STATION RD STE 600
LOUISVILLE, KY 402233818
Phone: (502) 589-8600
Type: Mailing
914, East Broadway, Louisville, Jefferson County, Kentucky, 40204, United States
1ST FLOOR
LOUISVILLE, KY 402041037
Phone: (502) 589-8600
Fax: (502) 589-8771
Type: Location
1143 FAIRWAY ST STE 103
BOWLING GREEN, KY 421032452
Phone: (407) 347-4536
Fax: (812) 285-8392
Type: Mailing
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: 2026-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260228000164 | I | Clinical Social Worker | IN | TBD |
| I20260304000952 | I | Clinical Social Worker | KY | TBD |
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.
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 42103)
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