| Amy Penrod Weir | |
|
900 Foulk Rd Suite 201 Wilmington DE 19803 | |
| (302) 377-8341 | |
| (866) 277-1795 |
| Full Name | Amy Penrod Weir |
|---|---|
| Speciality | Social Worker |
| Location | 900 Foulk Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Amy Penrod Weir (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3023778341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Penrod Weir 900 Foulk Rd Suite 201 Wilmington DE 19803 Ph: (302) 377-8341 | Amy Penrod Weir 900 Foulk Rd Suite 201 Wilmington DE 19803 Ph: (302) 377-8341 |
| NPI Number | 1316312754 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Medicare PECOS PAC ID | 1557665312 |
|---|---|
| Medicare Enrollment ID | O20160215002480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316312754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q1-0000680 (Delaware) | Primary |
| Provider Name | Amy L Penrod Weir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770619801 PECOS PAC ID: 3274764774 Enrollment ID: I20140326001749 |
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