Individual provider · Type 1 NPI

Kathryn Jo Weaver, LCSW & LAT

Clinical Social Worker · Sierra Vista, AZ

NPI number 1114243342 Active

Practice location

101 N Coronado Dr Ste A
Sierra Vista, AZ 85635-6359

Call (520) 343-2940 Map

Mailing address

20 Navajo Trl
Bisbee, AZ 85603-1639

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLAT-305 (WY)
Clinical Social Worker Primary 1041C0700XLCSW-579 (WY)

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…

5 other providers at this address

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About NPI 1114243342

Kathryn Jo Weaver, LCSW & LAT's National Provider Identifier is 1114243342, issued on Apr 13, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sierra Vista, AZ. The record was last updated on Aug 22, 2016.