Individual
CONNIE WEATHERHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2410322
OH
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
03/05/2021
Last updated
05/01/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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