Individual provider · Type 1 NPI

Gina Weidow, LCSW

Clinical Social Worker · Forty Fort, PA

NPI number 1679185565 Active

Practice location

1169 Wyoming Ave
Forty Fort, PA 18704-4003

Call (570) 904-7363 Map

Fax (570) 227-1591

Mailing address

228 S Main Ave
Scranton, PA 18504-2545

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW026013 (PA)

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 1679185565

Gina Weidow, LCSW's National Provider Identifier is 1679185565, issued on Aug 20, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forty Fort, PA. The record was last updated on Jun 18, 2025.