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

Mrs. Renetta Diane Weaver, LICSWLCSW-C

Individual provider Clinical Social Worker · NPI 1780620153

Mrs. Renetta Diane Weaver, LICSWLCSW-C is a Clinical Social Worker in Bryans Road, Maryland. Practices as a sole proprietor. Licensed in District of Columbia and Maryland.

Licensed in
DC, MD
In the registry since
2006
Specialties on file
3

Practice location Address checks out

2893 Cameo Pl
Bryans Road, MD 20616-7010
Phone: (301) 455-5032
Fax: (301) 455-5032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19932 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC50078177 (DC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1780620153
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSWLCSW-C
Sole proprietorYes
NPI enumeratedJune 22, 2006
Last updated in NPPESMarch 8, 2017

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