Mrs Renetta Diane Weaver, LICSW & LCSW-C in Bryans Road, MD - Medicare Social Worker Provider

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.

Contact Information

	Mrs Renetta Diane Weaver, LICSW & LCSW-C
	2893 Cameo Pl, Bryans Road, MD 20616-7010
	(301) 455-5032
	(301) 455-5032

Healthcare Provider's Profile

Full Name	Mrs Renetta Diane Weaver
Gender	Female
Speciality	Social Worker - Clinical
Location	2893 Cameo Pl, Bryans Road, Maryland
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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Mrs Renetta Diane Weaver, LICSW & LCSW-C - Medicare Clinical Social Worker in Bryans Road, MD