Individual provider · Type 1 NPI

Dawn L. Weidner, LCSW

Clinical Social Worker · Ontario, NY

NPI number 1174100465 Active

Practice location

6362 Dean Pkwy Ste B
Ontario, NY 14519-8970

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X23352 (NY)
Clinical Social Worker Primary 1041C0700X090683 (NY)
Counselor 101Y00000X090683 (NY)

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 1174100465

Dawn L. Weidner, LCSW's National Provider Identifier is 1174100465, issued on Mar 24, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ontario, NY. The record was last updated on Oct 5, 2025.