Individual provider · Type 1 NPI

Lara H. Weaver, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1669724456 Active

Practice location

12011 Government Center Parkway, Suite 836
Fairfax, VA 22035

Mailing address

1100 Wythe Street, PO Box 1031
Alexandria, VA 22314

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904004826 (VA)

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 1669724456

Lara H. Weaver, LCSW's National Provider Identifier is 1669724456, issued on Oct 4, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Feb 4, 2026.