Weaver, Renetta Diane

Weaver, Renetta Diane is an sole proprietor health care provider with primary practice located at 2893 Cameo Pl , Bryans Road MD 20616-7010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Weaver, Renetta Diane can be contacted via phone (301) 455-5032.

Contact Information

Primary practice address
2893 Cameo Pl Bryans Road MD 20616-7010
Phone: (301) 455-5032
Fax: (301) 455-5032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50078177 District of Columbia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19932 Maryland

Profile Details

NPI number 1780620153
LBN Legal business name Weaver, Renetta Diane
Credentials LICSW & LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Mar 8th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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