Individual provider · Type 1 NPI

Mary Monica Weber, LCSW

Clinical Social Worker · Racine, WI

NPI number 1013022367 Active · reactivated Nov 3, 2006

Practice location

1220 Mound Ave, Ste 301
Racine, WI 53404-3350

Fax (262) 633-2619

Mailing address

6121 S 60th St, Apt 2
Greendale, WI 53129-1903

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X428-123 (WI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013022367

Mary Monica Weber, LCSW's National Provider Identifier is 1013022367, issued on Aug 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Racine, WI. The record was last updated on Jul 8, 2007.