Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Weagley, LCSW, LCADC

Individual provider Social Worker · NPI 1467426601

John Weagley, LCSW, LCADC is a Clinical Social Worker in Summit, New Jersey. Qualified in 1983, 43 years ago. Practices with Keith Golin PHD LLC, a 23-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
43
Licensed in
NJ
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone: (973) 971-5595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SC00577400 (NJ)

Record details

NPI number1467426601
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCADC
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Keith Golin Phd Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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