MR. JERRY DUANE WEBER (LISW) – Social Worker, NPI 1710176516

MR. JERRY DUANE WEBER (LISW) is a healthcare provider. based in Louisville, Ohio. specializing in Social Worker. They hold the professional credentials LISW. They hold a License No. I0008237 (OH). The NPI Number for MR. JERRY DUANE WEBER (LISW) is 1710176516

Main info

Male
Sole Proprietor
Name
MR. JERRY DUANE WEBER (LISW)
NPI
1710176516
Phone
(330) 581-3681
Address
PO BOX 243
Enumeration Date
17 October 2007
Last Update Date
10 November 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JERRY DUANE WEBER (LISW)

  • PO BOX 243

    1520 CALIFORNIA AVE

    LOUISVILLE, OH 44641

    Phone: (330) 581-3681

    Fax: (330) 875-1451

    Type: Mailing

  • 1520, California Avenue, Louisville, Stark County, Ohio, 44641, United States

    LOUISVILLE, OH 44641

    Phone: (330) 581-3681

    Fax: (330) 875-1451

    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: 2013-11-06

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
I20131106000884IClinical Social WorkerOHTBD

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 44641)

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Reviews

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Frequently asked questions

How do I look up MR. JERRY DUANE WEBER (LISW) by NPI?
Use NPI 1710176516 when you need to reference MR. JERRY DUANE WEBER (LISW) in forms, claims, or directories.
Is MR. JERRY DUANE WEBER (LISW) currently active in the NPI registry?
CMS-published data lists MR. JERRY DUANE WEBER (LISW) as an active registrant.
What field does MR. JERRY DUANE WEBER (LISW) work in?
You can think of MR. JERRY DUANE WEBER (LISW) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
Where is MR. JERRY DUANE WEBER (LISW)'s primary listing?
We display Louisville, Ohio because that is what the record indicates for MR. JERRY DUANE WEBER (LISW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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