Marinel Weaver is a Clinical in La Mesa, California. Marinel Weaver practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marinel Weaver is 1871786558. The last update date is 2007-08-24.
Marinel Weaver's current location address is 4700 Spring St, La Mesa, California. You can contact this provider via phone number 6194654357 and fax number 6193122098. The mailing address for Marinel Weaver is 4700 Spring St, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marinel Weaver |
|---|---|
| Address | 4700 Spring St, La Mesa, California |
| Phone Number | 6194654357 |
| Fax Number | 6193122098 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1871786558 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2007-08-24 |
Provider Mailing Address Detail
| Address | 4700 Spring St |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919415263 |
| Phone Number | 6194654357 |
| Fax Number | 6193122098 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 15627 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCS 15627 | CA | BOARD OF BEHAVIORAL SCIEN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Marinel Weaver by the Centers for Medicare & Medicaid Services?
The Marinel Weaver has been assigned the NPI (National Provider Identifier) 1871786558 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Marinel Weaver's physical address?
The Marinel Weaver is physically located at 4700 Spring St, in the city of La Mesa, CA, with the postal code 919415263.
What is the Marinel Weaver's specialty and taxonomy code?
The Marinel Weaver's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Marinel Weaver's 1871786558 issued?
The Marinel Weaver's 1871786558 was issued on 2007-08-24.
As of what date were the Marinel Weaver's details last updated?
The information pertaining to the Marinel Weaver, including its address, specialty, and other details, was most recently updated on 2007-08-24.