Mrs Renetta Diane Weaver, LICSW & LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Bryans Road, Maryland. Her current practice location is
2893 Cameo Pl, Bryans Road, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 455-5032.
Mrs Renetta Diane Weaver is licensed to practice in Maryland (license number 19932) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780620153.
Healthcare Provider's Profile
Full Name | Mrs Renetta Diane Weaver |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2893 Cameo Pl, Bryans Road, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780620153
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 03/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 7214172022
- Enrollment ID: I20130327000481
Medical Identifiers
Medical identifiers for Mrs Renetta Diane Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780620153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC50078177 (District Of Columbia) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 19932 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Renetta Diane Weaver is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Renetta Diane Weaver, LICSW & LCSW-C 2893 Cameo Pl, Bryans Road, MD 20616-7010 Ph: (301) 455-5032 | Mrs Renetta Diane Weaver, LICSW & LCSW-C 2893 Cameo Pl, Bryans Road, MD 20616-7010 Ph: (301) 455-5032 |
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