Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RENETTA DIANE WEAVER, LICSW & LCSW-C
Active Sole ProprietorClinical Social Worker · BRYANS ROAD, MD
Registration Details
- NPI Number
- 1780620153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2006 (19.863578035018 yrs)
- Last Updated
- Mar 8, 2017
- Licenses
-
LC50078177 (DC)19932 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2893 CAMEO PLBRYANS ROAD, MD, 206167010Browse MD providers · Browse ZIP 20616
- Phone
- 3014555032
- Fax
- 3014555032
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in BRYANS ROAD, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. SHAWNTAE LILLIAN CHASE | LCSW | 1750695573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.