Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina Weidow, LCSW

Individual provider Clinical Social Worker · NPI 1679185565

Gina Weidow, LCSW is a Clinical Social Worker in Forty Fort, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1169 Wyoming Ave
Forty Fort, PA 18704-4003
Phone: (570) 904-7363
Fax: (570) 227-1591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW026013 (PA)

Record details

NPI number1679185565
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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