Doctor Name: | MS. ANNA M WEAVER |
NPI Number: | 1326119900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 6809-123 |
Business Practice Address: | 890 Elm Grove Rd Suite 208 Elm Grove, WI - 531222528 |
Business Phone Number: | 2626919522 |
Business Fax Number: | |
Mailing Address: | 1339 Hillwood Blvd, Unit D PEWAUKEE |
State: | WI |
Postal Code: | 530726901 |
Phone Number: | 2626919522 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 09/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6809-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |