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

Mr. Randall Paul Weaver, MSWLCSW3920

Individual provider Social Worker · NPI 1689687733

Mr. Randall Paul Weaver, MSWLCSW3920 is a Clinical Social Worker in Rogersville, Tennessee. Qualified in 1996, 30 years ago. Practices with Frontier Health, a 69-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
30
Licensed in
TN
In the registry since
2006

Practice location Address checks out

101 Lena Drive Hawkins Cn Mental Health Ctr
Rogersville, TN 37857
Phone: (423) 272-9239
Fax: (423) 272-1803
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW3920 (TN)

Record details

NPI number1689687733
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLCSW3920
Sole proprietorNo
NPI enumeratedAugust 13, 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 1996 (30 years in practice)
Group practice Frontier Health — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rogersville