Individual provider · Type 1 NPI
Renetta Diane Weaver, LICSW & LCSW-C
Clinical Social Worker · Bryans Road, MD
Practice location
2893 Cameo Pl
Bryans Road, MD 20616-7010
Fax (301) 455-5032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50078177 (DC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 19932 (MD) |
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 1780620153
Renetta Diane Weaver, LICSW & LCSW-C's National Provider Identifier is 1780620153, issued on Jun 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bryans Road, MD. The record was last updated on Mar 8, 2017.