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

Individual provider Clinical Social Worker · NPI 1316570435

Nicole Elizabeth Weakley, LCSW is a Clinical Social Worker in Longview, Texas. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2020
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

1127 Judson Rd Ste 100
Longview, TX 75601-5167
Phone: (903) 563-4297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1508 W Fairmont St Ste A, Longview, TX 75604-4500 — (903) 563-4297

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 51703 (TX)

Record details

NPI number1316570435
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 17, 2020
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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